CHILDRENS PHYSICIANS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS PHYSICIANS (EIN 47-0689372)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-12
IRS object ID
201132289349300723
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2011-08-12T14:35:24-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1Two Central Park Plaza Suite 1501AddressLine1
CityOmahaCity
StateNEState
ZIP Code681021626ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470689372EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S PHYSICIANSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone4029554116Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL J BROWNName
TitleSR. VICE PRESIDENT & CFOTitle
Phone4029554116Phone
Date Signed2011-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVEN BURNHAMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29468018GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDRENSPHYSICIANS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionCHILDREN'S PHYSICIANS IS THE LEADING PEDIATRIC PRACTICE DEDICATED TO CARING FOR ALL CHILDREN WHILE SUPPORTING EDUCATION AND RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees186TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4517ContributionsGrantsPriorYear
Contributions Grants Current Year8078ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26533071ProgramServiceRevenuePriorYear
Program Service Revenue CY29050661ProgramServiceRevenueCY
Investment Income Prior Year-7968InvestmentIncomePriorYear
Investment Income Current Year1InvestmentIncomeCurrentYear
Other Revenue Prior Year871539OtherRevenuePriorYear
Other Revenue Current Year409278OtherRevenueCurrentYear
Total Revenue Prior Year27401159TotalRevenuePriorYear
Total Revenue Current Year29468018TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16144652SalariesEtcPriorYear
Salaries Etc Current Year16798118SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11600718OtherExpensePriorYear
Other Expenses Current Year12878121OtherExpensesCurrentYear
Total Expenses Prior Year27745370TotalExpensesPriorYear
Total Expenses Current Year29676239TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-344211RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-208221RevenuesLessExpensesCY
Total Assets BOY6245443TotalAssetsBOY
Total Assets EOY7017193TotalAssetsEOY
Total Liabilities BOY4827911TotalLiabilitiesBOY
Total Liabilities EOY5544879TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1417532NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1472314NetAssetsOrFundBalancesEOY
Mission DescriptionCHILDREN'S PHYSICIANS DELIVERS THE HIGHEST QUALITY CARE WHILE SUPPORTING EDUCATION AND RESEARCH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense25877426Expense
Grants0Grants
Revenue29459939Revenue
DescriptionChildren's Physicians is a pediatric health care provider system for Omaha and surrounding communities that owns and operates primary care pediatric clinics. The clinics also serve as resident training sites for pediatric residents. As of December 31, 2010, Children's Physicians operates 9 clinical sites. See www.childrensomaha.org for the Community Benefit Report.Description
Total Program Service Expense25877426TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees186NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL J BROWNNamePerson
Telephone Number4029554116TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
JOHN C MOORE MD
DIRECTOR40.0X020056825967
DENNIS O'NEAL
CHAIRMAN1.0X000X
GARY A PERKINS
DIRECTOR1.0X096770456835
KENNETH M BIRD
SECRETARY/TREASURER1.0X000X
TERENCE L ZACH MD
DIRECTOR1.0X000
ROWEN K ZETTERMAN MD
DIRECTOR1.0X000
MARK HUBER
DIRECTOR1.0X000
JOHN E NAHAS
DIRECTOR1.0X000
STEVEN C BURNHAM
PRESIDENT40.0019548414602X
NANCY E KNOWLES
MEDICAL DIRECTOR40.0184028017331X
FieldValueIRS element (for citing)
Total Reportable Comp From Org184028TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1363756TotalReportableCompFrmRltdOrgs
Total Other Compensation114735TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE NEBRASKA MEDICAL CENTER
987455 NEBRASKA MEDICAL CENTEROMAHANE681987455PHYSIC ANSWERING SVC193022
MEDICAL OFFICE SERVICES GROUP
9820 WINDY CIRLA VISTANE68128CLEANING SVC135703
MAXIT HEALTHCARE LLC
PO BOX 808WESTFIELDIN46074IT SUPPORT101266
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions8078AllOtherContributions
Total Contributions8078TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column29050661TotalRevenueColumn
Related Or Exempt Function Income29050661RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue29050661TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1TotalRevenueColumn
Exclusion$1ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEES541610398177398177
OTHER REVENUE9000991110111101
FieldValueIRS element (for citing)
Total Other Revenue409278TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29468018TotalRevenueColumn
Related Or Exempt Function Income29459939RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total210055Total
Management And General210055ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15372951Total
Program Services14972941ProgramServices
Management And General400010ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total101004Total
Program Services101004ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total791213Total
Program Services746746ProgramServices
Management And General44467ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total322895Total
Program Services287595ProgramServices
Management And General35300ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1433030Total
Program Services131537ProgramServices
Management And General1301493ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total59885Total
Management And General59885ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23598Total
Management And General23598ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1631034Total
Program Services1391934ProgramServices
Management And General239100ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total170757Total
Program Services13564ProgramServices
Management And General157193ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5720997Total
Program Services5698048ProgramServices
Management And General22949ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total334975Total
Management And General334975ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1412363Total
Program Services1373079ProgramServices
Management And General39284ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total20542Total
Program Services9480ProgramServices
Management And General11062ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9728Total
Program Services4688ProgramServices
Management And General5040ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total46651Total
Management And General46651ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1061217Total
Program Services294142ProgramServices
Management And General767075ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total192784Total
Program Services183919ProgramServices
Management And General8865ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT380133380133
PEDI-CALL FEE184468184468
BANK CHARGES1221424568176461
PROF. DUES/SUBSCRIPTIONS55976464679509
MISCELLANEOUS17841120005841

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29676239Total
Program Services25877426ProgramServices
Management And General3798813ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-517501BOY
EOY1975501EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY650000BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1685080BOY
EOY1633322EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY395356BOY
EOY412770EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY107798BOY
EOY117900EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8572415LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5694715LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3924710BOY
EOY2877700EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6245443BOY
EOY7017193EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1317016BOY
EOY1602022EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY116381BOY
EOY106401EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3394514BOY
EOY3836456EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4827911BOY
EOY5544879EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1417532BOY
EOY1472314EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1417532BOY
EOY1472314EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6245443BOY
EOY7017193EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-208221ReconcilationRevenueExpenses
Reconcilation Other Changes263003ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4294CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2808CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4517CurrentTaxYearMinus1Year
Current Tax Year8078CurrentTaxYear
Total21984Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22896543CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25894833CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26284883CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27404610CurrentTaxYearMinus1Year
Current Tax Year29459939CurrentTaxYear
Total131940808Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22898830CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25899127CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26287691CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27409127CurrentTaxYearMinus1Year
Current Tax Year29468017CurrentTaxYear
Total131962792Total
FieldValueIRS element (for citing)
Public Support Total509131962792PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34943CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39108CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17389CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83CurrentTaxYearMinus1Year
Current Tax Year1CurrentTaxYear
Total91524Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34943CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39108CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17389CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83CurrentTaxYearMinus1Year
Current Tax Year1CurrentTaxYear
Total91524Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22933773CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25938235CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26305080CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27409210CurrentTaxYearMinus1Year
Current Tax Year29468018CurrentTaxYear
Total132054316Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99931PublicSupportPercentage509
Prior Year Support Percentage0.99915PriorYearSupportPercentage
Investment Income Percentage0.00069InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00085PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3474618OtherCostOrOtherBasis
Depreciation2226488Depreciation
Book Value1248130BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4431446OtherCostOrOtherBasis
Depreciation3066071Depreciation
Book Value1365375BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis666351OtherCostOrOtherBasis
Depreciation402156Depreciation
Book Value264195BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2877700TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCOUNTS PAYABLE-AFFILIATES$2,154,217
INTERCOMPANY LINE OF CREDIT$1,682,239
FieldValueIRS element (for citing)
Total Of Amounts3836456TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART XIdentifier
Return ReferenceFIN 48 FOOTNOTEReturnReference
ExplanationIn accordance with asc subtopic 740-10, income taxes - overall, the company 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 judgement occurs. During 2010 and 2009, the company did not record any amounts related to uncertain tax position or any accrued interest and penalties.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN C MOORE MD
01992530001315014460011507022653500
GARY A PERKINS
045099202246920292020048000088350102453900
NANCY E KNOWLES
15067103029503062012840044910201359000
STEVEN C BURNHAM
0150590041895029990972004882021008600

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, LINE 2ROWEN K. ZETTERMAN, M.D. AND TERENCE L. ZACH, M.D. HAVE A BUSINESS RELATIONSHIP. GARY A. PERKINS AND JOHN C. MOORE, MD, HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, LINE 6 & 7ACHILDREN'S PHYSICIANS CONSISTS OF TWO MEMBERS, CREIGHTON UNIVERSITY AND CHILDREN'S HOSPITAL & MEDICAL CENTER. EACH MEMBER DESIGNATES FOUR PERSONS TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7BThe actions listed below require Unanimous Resolution of the Children's Physicians Board and prior written consent of Creighton University and Children's Hospital & Medical Center: A. executing agreements between Children's Physicians and either Creighton University or Children's Hospital & Medical Center (or their respective affiliates), accepting only those agreements which are specifically permitted by the express terms of this agreement, and then only upon reasonable, arms-length, good-faith, competitive terms (all of such permitted agreements to which Children's Physicians is a Part of being herein called "Authorized Children's Physicians contracts"); or B. Distributing to Children's Physicians' members any Children's physicians assets, except as expressly permitted by the specific provisions of the agreement; or C. Selling, distributing, issuing or transferring any stock or securities in Children's Physicians, or any rights or instruments convertible into or exchangeable for any stock or other securities in Children's Physicians; or D. Modifying or amending Children's Physicians' Articles of Incorporation or Bylaws; or E. Changing the number of members of the Children's Physicians Board from eight; or F. Undertaking such action as may contravene or be a default of the provisions of the agreement; or G. Merging or effecting any other business combination of or by Children's Physicians, as a result of which (without any other cause) the voting control of Children's Physicians held by any party shall be changed; or H. Paying or distributing any money, funds, compensation, payments or fees to any party or its affiliated, except: 1) pursuant to authorized Children's Physicians contracts, or 2) repayment of loans; or I. Not directing the certified public accountant for Children's Physicians (herein called "Children's Physicians CPA") to issue annual, certified financial statements on the books and records of children's physicians; or J. Selling all, or substantially all, of the assets of Children's Physicians; or K. Creating subsidiaries and/or establishing corporate or non-corporate joint ventures by Children's Physicians; or L. Acquiring shares of or any interest in any corporation or other legal entity or business enterprise, or creating any partnership or other legal entity to which Children's Physicians is or will be a partner, shareholder, member or similar participant; or M. Changing or reorganizing Children's physicians into any other legal form; or N. Taking any action which would adversely affect the tax-exempt status of either the parties or the tax exemption of income distributed by children's physicians to them; or O. Fund Children's physicians' capital needs with a contribution other than cash; or P. Employing or leasing physicians, opening new clinic sites, closing existing clinic sites, or consolidating clinic sites.
FORM 990, PART VI, LINE 12CThe Conflicts of Interest policy applies to any person in a position to exercise influence in connection with any contract, transaction or arrangement presented to the Board of Directors or a Board committee for approval (interested person). This includes, but is not limited to, any director, officer, or member of a committee with board-designated powers. Each interested person has the obligation to annually submit a completed conflicts of interest questionnaire and has a continuing obligation to disclose any potential conflict of interest promptly. Each interested person signs annually an acknowledgement that states that the interested person has received, read and understands the conflict of interest policy, agrees to comply with the policy; understands that the policy applies to the board of directors and committees; understands that Children's Physicians is a not-for-profit organization that must engage primarily in exempt activities; agrees to report to the compliance Officer any change to matters previously disclosed on the Conflicts of Interest Questionnaire; states that the information provided in the conflicts of interest questionnaire is true and accurate to the best of his/her knowledge and belief. The governance committee reviews each completed conflicts of interest questionnaire to determine if any further investigation of potential conflicts is necessary. When a potential conflict is voluntarily identified by an interested person or through disclosure by another person, the remaining board/committee members review the matter and determine whether a conflict of interest exists. Only disinterested board/committee members may vote to determine whether a conflict exists. The interested person in question cannot be present during the vote. If a conflict of interest exists, the disinterested board/committee members determine whether a more advantageous contract, transaction or arrangement should be obtained. When considering whether to enter into the proposed contract, transaction, or arrangement, only disinterested board/committee members can vote to determine if it is in the best interest of Children's Physicians and for Children's Physicians own benefit. The interested person may be required to leave the room when the matter is discussed and is required to leave the room when the matter is voted on. Only disinterested board/committee members may vote on the matter. Failure to comply with the conflict of interest policy may result in removal from the board.POLICIES
FORM 990, PART VI, LINE 15Each year an independent company (Towers Watson) conducts a market analysis of the Executive Compensation. This information is presented to Children's Hospital & Medical Center's Compensation Committee, which is a sub-committee of the Board of Directors. Executive base salaries are targeted for the 50th percentile of the market. Towers Watson issues an annual reasonableness opinion letter regarding the appropriateness of executive pay levels. The Compensation Committee reviews base pay changes for Children's Physicians' President. The board of directors receives a report from the committee.POLICIES
FORM 990, PART VI, LINE 11bThe form 990 will be distributed via mail to children's physicians board members for review and an overview will be presented to the executive committee of children's hospital & medical center prior to filing with the irs.
FORM 990, PART VI, LINE 19Governing documents and conflict of interest policy are not available to the public. The children's hospital & medical center and affiliates audited financial statements can be obtained in administration.
Form 990, Part XI, Line 5Net Asset Transfers 175,333 Noncontrolling interest contribution 87,670
FORM 990, PART VIIJohn c moore is a full-time employee of children's hospital and medical center, devoting on average forty hours a week. He volunteers to be a board member for children's physicians, devoting on avegage one hour a week in this capacity.RELATED ORGANIZATIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDREN'S HOSPITAL & MEDICAL CENTER
8200 DODGE STREETOMAHANE68114470379754PEDIATRICSNE501(c)(3)LINE 3NA
CHILDREN'S HOSPITAL & MED CENTER FDN
8200 DODGE STREETOMAHANE68114476105603FUNDRAISINGNE501(c)(3)LINE 7NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CHILDREN'S HEALTH NETWORK
8200 DODGE STREETOMAHANE68114363967578HEALTH NETWORKNENAC000.00000
KENT INC
8200 DODGE STREETOMAHANE68114470527928REAL ESTATENENAC000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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