Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 22,837 | 1,649,124 | 44,652 | 203,627 | 161,657 | 2,081,897 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 48,730,695 | 52,107,638 | 55,033,131 | 64,856,057 | 73,445,065 | 294,172,586 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 48,753,532 | 53,756,762 | 55,077,783 | 65,059,684 | 73,606,722 | 296,254,483 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 296,254,483 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 48,753,532 | 53,756,762 | 55,077,783 | 65,059,684 | 73,606,722 | 296,254,483 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,476 | 2,202 | 4,791 | 14,014 | 979 | 23,462 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 1,476 | 2,202 | 4,791 | 14,014 | 979 | 23,462 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 48,755,008 | 53,758,964 | 55,082,574 | 65,073,698 | 73,607,701 | 296,277,945 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PART VI, SECTION A, LINE 6 | CHILDREN'S PHYSICIANS HAS A SINGLE CORPORATE MEMBER, CHILDREN'S HOSPITAL & MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7A | CHILDREN'S PHYSICIANS HAS A SINGLE CORPORATE MEMBER, CHILDREN'S HOSPITAL & MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7B | RESERVED POWERS OF CHILDREN'S HOSPITAL & MEDICAL CENTER (CHMC) DESIGNEE. NOTWITHSTANDING ANYTHING IN THESE BYLAWS TO THE CONTRARY, THE CONSENT OF THE MEMBER, ACTING THROUGH THE CHMC DESIGNEE, SHALL BE REQUIRED TO APPROVE THE FOLLOWING ACTIONS: I. ELECTION AND REMOVAL OF DIRECTORS. IN ACCORDANCE WITH THESE BYLAWS, THE MEMBER SHALL HAVE THE POWER TO APPOINT CERTAIN DIRECTORS OF THE CORPORATION UNDER ARTICLE IV, SECTION 1, AND REMOVE CERTAIN DIRECTORS OF THE CORPORATION UNDER ARTICLE IV, SECTION 11. THE MEMBER SHALL ALSO HAVE THE RIGHT TO APPROVE THE PERSON CREIGHTON UNIVERSITY WISHES TO APPOINT TO THE BOARD AS THE CREIGHTON APPOINTED DIRECTOR. II. APPOINTMENT AND REMOVAL OF CORPORATION ADMINISTRATIVE LEADER. IN ACCORDANCE WITH THESE BYLAWS, THE HOSPITAL DESIGNEE SHALL HAVE THE POWER TO APPOINT AND REMOVE THE PERSON DESIGNATED AS THE ADMINISTRATIVE LEADER OF THE CORPORATION. III. APPROVAL OF CERTAIN ACTIONS. THE FOLLOWING ACTIONS OF THE CORPORATION MUST BE APPROVED BY THE HOSPITAL DESIGNEE: (1) ADOPTION AND ADJUSTMENT OF THE CORPORATION'S ANNUAL BUDGET, CAPITAL EXPENDITURES BUDGET, MISSION STATEMENT, OPERATING PLAN, AND LONG-RANGE PLAN; (2) INCURRENCE OR ASSUMPTION OF DEBT (OTHER THAN TRADE PAYABLES); (3) ADOPTION OF COMPENSATION PLANS; (4) ANY DISTRIBUTIONS OF CAPITAL OR NET EARNINGS OF THE CORPORATION; (5) CHANGES TO THE ARTICLES OF INCORPORATION OR THESE BYLAWS; (6) ANY ACTION REQUIRED TO BE SUBMITTED TO AND APPROVED BY THE VOTING MEMBERS OF A NONPROFIT CORPORATION PURSUANT TO THE NEBRASKA NONPROFIT CORPORATION ACT; (7) REORGANIZATION AND TRANSFER OF ASSETS OUTSIDE OF THE ORDINARY COURSE OF BUSINESS; (8) ESTABLISHMENT OF A SUBSIDIARY OR PARTICIPATION AS A SHAREHOLDER, PARTNER, OR MEMBER OF ANY OTHER ENTITY; AND (9) ADMISSION OF NEW MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COMPLETE COPY OF THE FORM 990, EXCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, IS MADE AVAILABLE TO THE CHILDREN'S HOSPITAL & MEDICAL CENTER BOARD OF DIRECTORS VIA THE BOARDVANTAGE BOARD PORTAL PRIOR TO FILING WITH THE IRS. A COMPLETE COPY OF THE FORM 990, INCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, IS REVIEWED WITH THE COMPENSATION & HUMAN RESOURCES COMMITTEE OF THE CHILDREN'S HOSPITAL & MEDICAL CENTER BOARD OF DIRECTORS AT ITS NOVEMBER MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CHILDREN'S PHYSICIANS HAS A CONFLICT OF INTEREST POLICY WHICH EXISTS TO IDENTIFY AND ETHICALLY RESOLVE CONFLICTS OF INTEREST WHICH MAY EXIST ON THE PART OF DIRECTORS, OFFICERS, AND MEMBERS OF COMMITTEES AS REQUIRED BY STANDARDS PROMULGATED BY THE JOINT COMMISSION, THE INTERNAL REVENUE CODE AND TREASURY REGULATIONS GOVERNING TAX-EXEMPT ORGANIZATIONS, REQUIREMENTS PLACED UPON PROVIDERS BY MEDICARE AND MEDICAID PROGRAM REGULATIONS, AND STATE LAW. AN OFFICER, DIRECTOR, OR COMMITTEE MEMBER WILL BE DEEMED TO HAVE A POTENTIAL CONFLICT OF INTEREST IN A CONTRACT OR TRANSACTION IF HE OR SHE, OR A FAMILY MEMBER, IS A PARTY (OR ONE OF THE PARTIES) CONTRACTING OR DEALING WITH CHILDREN'S PHYSICIANS, OR IF HE OR SHE, OR A FAMILY MEMBER, IS A DIRECTOR, OFFICER, OR GENERAL PARTNER IN, OR HAS A FINANCIAL INTEREST IN, THE ENTITY CONTRACTING OR DEALING WITH CHILDREN'S PHYSICIANS. ANY POTENTIAL CONFLICT OF INTEREST SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD WHENEVER IT ARISES, OR WHENEVER IT INVOLVES A MATTER OF BOARD ACTION. ANY OFFICER, DIRECTOR, OR COMMITTEE MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. TRANSACTIONS INVOLVING PERSONS WITH CONFLICTS MUST BE APPROVED IN ADVANCE BY A MAJORITY OF DISINTERESTED DIRECTORS. DISINTERESTED DIRECTORS ARE THOSE DIRECTORS HAVING NO DIRECT OR INDIRECT INTEREST IN THE ISSUE OR TRANSACTION. IN ORDER TO APPROVE AN ARRANGEMENT OR TRANSACTION INVOLVING CONFLICTS OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED DIRECTORS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT IS IN CHILDREN'S PHYSICIANS' BEST INTEREST, IS FAIR AND REASONABLE TO CHILDREN'S PHYSICIANS AND THAT, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. ALL OFFICERS, DIRECTORS AND COMMITTEE MEMBERS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE UPON INITIALLY JOINING THE BOARDS OF DIRECTORS AND ANNUALLY THEREAFTER. THE GOVERNANCE COMMITTEE OF CHILDREN'S HOSPITAL & MEDICAL CENTER'S BOARD OF DIRECTORS SHALL SERVE AS THE CONFLICT REVIEW COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | EACH YEAR, AN INDEPENDENT COMPANY CONDUCTS A MARKET ANALYSIS OF COMPENSATION TO SUBSTANTIATE THE COMPENSATION OF EXECUTIVES AND PHYSICIANS. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. THE INDEPENDENT COMPANY ISSUES AN ANNUAL REASONABLENESS OPINION LETTER REGARDING THE APPROPRIATENESS OF EXECUTIVE AND PHYSICIAN PAY LEVELS. THE HOSPITAL BOARD OF DIRECTORS RECEIVES A REPORT FROM THE COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. CHILDREN'S HOSPITAL & MEDICAL CENTER AND AFFILIATES AUDITED FINANCIAL STATEMENTS CAN BE OBTAINED IN ADMINISTRATION. |
| FORM 990, PART XI, LINE 10: | CHILDREN'S PHYSICIANS IS SUPPORTED BY CAPITAL TRANSFERS FROM ITS PARENT, CHILDREN'S HOSPITAL & MEDICAL CENTER, AS IT IS AN INTEGRAL PART OF THE ORGANIZATION. THE NEGATIVE FUND BALANCE AT YEAR-END WAS BASED UPON AN ESTIMATE OF REQUIRED FUNDING. |
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