2011-08-12T14:35:24-05:00 2010-12-31 KPMG LLP Two Central Park Plaza Suite 1501 Omaha NE 681021626 990 2010-01-01 470689372 CHILDREN'S PHYSICIANS CHIL 4029554116 8200 DODGE STREET OMAHA NE 68114 MICHAEL J BROWN 4029554116 2011-08-12 true 4023481450 2010 2016-02-24 21:20:13Z STEVEN BURNHAM 8200 DODGE STREET OMAHA NE 68114 29468018 false X WWW.CHILDRENSPHYSICIANS.ORG X 1996 NE CHILDREN'S PHYSICIANS IS THE LEADING PEDIATRIC PRACTICE DEDICATED TO CARING FOR ALL CHILDREN WHILE SUPPORTING EDUCATION AND RESEARCH. 8 6 186 0 0 0 4517 8078 26533071 29050661 -7968 1 871539 409278 27401159 29468018 0 0 0 0 16144652 16798118 0 0 0 11600718 12878121 27745370 29676239 -344211 -208221 6245443 7017193 4827911 5544879 1417532 1472314 CHILDREN'S PHYSICIANS DELIVERS THE HIGHEST QUALITY CARE WHILE SUPPORTING EDUCATION AND RESEARCH. false false 25877426 0 29459939 Children'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. 25877426 true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 9 0 true 186 true false false false false false false false false false false X 8 6 true false false false true true true true true false false true true true true true true true true false X MICHAEL J BROWN 4029554116 8200 DODGE STREET OMAHA NE 68114 X JOHN C MOORE MD 40.0 X 0 200568 25967 DENNIS O'NEAL 1.0 X X 0 0 0 GARY A PERKINS 1.0 X 0 967704 56835 KENNETH M BIRD 1.0 X X 0 0 0 TERENCE L ZACH MD 1.0 X 0 0 0 ROWEN K ZETTERMAN MD 1.0 X 0 0 0 MARK HUBER 1.0 X 0 0 0 JOHN E NAHAS 1.0 X 0 0 0 STEVEN C BURNHAM 40.0 X 0 195484 14602 NANCY E KNOWLES 40.0 X 184028 0 17331 184028 1363756 114735 1 false true false THE NEBRASKA MEDICAL CENTER 987455 NEBRASKA MEDICAL CENTER OMAHA NE 681987455 PHYSIC ANSWERING SVC 193022 MEDICAL OFFICE SERVICES GROUP 9820 WINDY CIR LA VISTA NE 68128 CLEANING SVC 135703 MAXIT HEALTHCARE LLC PO BOX 808 WESTFIELD IN 46074 IT SUPPORT 101266 3 8078 8078 NET PATIENT SERVICE REVENUE 621110 29050661 29050661 29050661 1 1 0 0 0 0 0 0 MANAGEMENT FEES 541610 398177 398177 OTHER REVENUE 900099 11101 11101 409278 29468018 29459939 0 1 0 0 0 0 210055 210055 0 15372951 14972941 400010 101004 101004 791213 746746 44467 322895 287595 35300 1433030 131537 1301493 59885 59885 23598 23598 0 0 0 1631034 1391934 239100 170757 13564 157193 5720997 5698048 22949 334975 334975 0 1412363 1373079 39284 20542 9480 11062 0 9728 4688 5040 46651 46651 0 1061217 294142 767075 192784 183919 8865 PROVISION FOR BAD DEBT 380133 380133 PEDI-CALL FEE 184468 184468 BANK CHARGES 122142 45681 76461 PROF. DUES/SUBSCRIPTIONS 55976 46467 9509 MISCELLANEOUS 17841 12000 5841 29676239 25877426 3798813 0 -517501 1975501 650000 0 1685080 1633322 395356 412770 107798 117900 8572415 5694715 3924710 2877700 6245443 7017193 1317016 1602022 116381 106401 3394514 3836456 4827911 5544879 X 1417532 1472314 1417532 1472314 6245443 7017193 X -208221 263003 X false true true X false X 2287 4294 2808 4517 8078 21984 22896543 25894833 26284883 27404610 29459939 131940808 22898830 25899127 26287691 27409127 29468017 131962792 131962792 34943 39108 17389 83 1 91524 34943 39108 17389 83 1 91524 22933773 25938235 26305080 27409210 29468018 132054316 0.99931 0.99915 0.00069 0.00085 X 3474618 2226488 1248130 4431446 3066071 1365375 666351 402156 264195 2877700 0 ACCOUNTS PAYABLE-AFFILIATES 2154217 INTERCOMPANY LINE OF CREDIT 1682239 3836456 SCHEDULE D, PART X FIN 48 FOOTNOTE In 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. X X X X false false false false false false false false false JOHN C MOORE MD 0 199253 0 0 0 1315 0 14460 0 11507 0 226535 0 0 GARY A PERKINS 0 450992 0 224692 0 292020 0 48000 0 8835 0 1024539 0 0 NANCY E KNOWLES 150671 0 30295 0 3062 0 12840 0 4491 0 201359 0 0 0 STEVEN C BURNHAM 0 150590 0 41895 0 2999 0 9720 0 4882 0 210086 0 0 FORM 990, PART VI, LINE 2 ROWEN 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 & 7A CHILDREN'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 7B The 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 12C POLICIES The 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. FORM 990, PART VI, LINE 15 POLICIES Each 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. FORM 990, PART VI, LINE 11b The 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 19 Governing 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 5 Net Asset Transfers 175,333 Noncontrolling interest contribution 87,670 FORM 990, PART VII RELATED ORGANIZATIONS John 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. CHILDREN'S HOSPITAL & MEDICAL CENTER 8200 DODGE STREET OMAHA NE 68114 470379754 PEDIATRICS NE 501(c)(3) LINE 3 NA CHILDREN'S HOSPITAL & MED CENTER FDN 8200 DODGE STREET OMAHA NE 68114 476105603 FUNDRAISING NE 501(c)(3) LINE 7 NA CHILDREN'S HEALTH NETWORK 8200 DODGE STREET OMAHA NE 68114 363967578 HEALTH NETWORK NE NA C 0 0 0.00000 KENT INC 8200 DODGE STREET OMAHA NE 68114 470527928 REAL ESTATE NE NA C 0 0 0.00000 false false true false true false false false false true false false true true true false false false