Children'S Clinic Network

“Children's Clinic Network has a sole member, Children's Health Care, A Minnesota nonprofit corporation.”

“Children's Clinic Network's sole member, Children's Health Care, is authorized under Children's Clinic Network's bylaws to elect directors of Children's Clinic Network, after approval by the board of directors of Children's Clinic Network.”

“Children's Clinic Network's sole member, Children's Health Care, maintains a number of reserved powers including but not limited to election of directors, approval of annual budgets, approval of amendments to the articles of Incorporation and Bylaws.”

“The senior management of Children's Health Care, the parent of Children's Clinic Network, reviews the draft of Form 990 with the Audit and Compliance Committee of Children's Health Care governing body prior to the filing of the form. This review includes an overview of the form and discussion related to key sections. Copies of the final Form 990 are made available to members of the committee and all directors prior to the Form being filed. The Audit and Compliance Committee has been delegated the authority to oversee the completion and filing of the Form 990 by the full Children's Health Care Board, and the committee reports the results of its review and approval to the full board at a regularly scheduled board meeting.”

“Management of Children's Health Care, the parent of Children's Clinic Network, ensure that conflict of interest disclosure forms are completed by all members of the governing body and board committees at least annually. Forms are completed at the beginning of the year, and directors and committee members are instructed to provide additional disclosures if necessary during the course of the year. The Governance Committee of the governing body of Children's Health Care, Inc., along with senior management (CEO and general counsel) of Children's Health Care, Inc., review all disclosures provided by governing board members. The results of this review and any concerns, limitations, etc. are reported by the Governance Committee to the full board. If conflicts are identified, the Governance Committee and management work to ensure that directors do not participate in discussion or voting on the affected matter.”

“The compensation for the CEO of Children's Clinic Network is established by Children's Health Care as part of its executive compensation process. Children's Health Care, Inc. follows the requirements set forth in the IRS rebuttable presumption of reasonableness is determining compensation for the CEO and other officers and executive leaders of Children's Clinic Network. This function is performed by the Compensation Committee of the governing board of Children's Health Care, which is composed of only independent directors. The process includes review of comparability data, retention of an outside compensation consultant and contemporaneous substantiation of the deliberation and decision through detailed minutes of the Compensation Committee and full board meetings where executive compensation is considered.”

“Children's Health Care, the parent of Children's Clinic Network, makes financial statement information public through a summary of financial performance in its annual report. In addition, financial statements are provided publicly through Digital Assurance Certification, a dissemination agent, who thereafter make this information publicly available. Children's Clinic Network relies on the conflict of Interest policy of Children's Health Care, the parent of Children's Clinic Network Children's Health Care does not make the conflict of Interest Policy available to the public. The governing documents of Children's Clinic Network are not available to the public.”

“Program Service Accomplishments: Locations - Addresses of our ten Network Clinics 1547 Livingston Avenue West St. Paul, MN 55118 14701 Victor Hugo Blvd N Hugo, MN 55038 6517 Drew Avenue Edina, MN 55435 14050 Nicollet Avenue Suite 300 Burnsville, MN 55337 1515 St. Francis Avenue Suite 100 Shakopee, MN 55379 Edinburgh Medical and Dental Plaza 8500 Edinbrook Parkway Brooklyn Park, MN 55443 3910 Excelsior Boulevard St. Louis Park, MN 55416 Bass Lake Center 12720 Bass Lake Road Maple Grove, MN 55369 West Health Campus 2855 Campus Drive Suite 350 Plymouth, MN 55441 13980 Northdale Boulevard Rogers, MN 55374”

“Payments to vendors are made from Children's Health Care, Inc., therefore no form 1099s are issued by Children's Clinic Network. Children's Health Care, Inc. files the form 1099s and complies with the backup withholding rules for reportable payments to vendors. The 1099s issued by Children's Health Care, Inc. on behalf of Children's Clinic Network are reported to the IRS.”

“DESCRIPTION:Purchased Lab & Medical Svcs TOTAL FEES:21465503”

“DESCRIPTION:Consulting Fees TOTAL FEES:66106”

“DESCRIPTION:Data Processing TOTAL FEES:26720”

“DESCRIPTION:Repairs and Maintenance TOTAL FEES:273074”

“DESCRIPTION:Leased Equipment TOTAL FEES:197489”

“DESCRIPTION:Linen TOTAL FEES:9736”

“DESCRIPTION:Security TOTAL FEES:20”