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MADONNA REHABILITATION HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MADONNA REHABILITATION HOSPITAL (EIN 47-0439599)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202441359349310839
Schema version
2022v5.0
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)
Return2024-05-14T16:16:46-07:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470439599EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MADONNA REHABILITATION HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMADOBusinessNameControlTxt
Phone4024133000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15401 South StAddressLine1Txt
CityLincolnCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68506ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael HeddermanPersonNm
Person TitleVP, FINANCE/ CFOPersonTitleTxt
Phone4024133000PhoneNum
Signature2024-05-14SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMichaelPersonFirstNm
Person LastHeddermanPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Last Submission Rqr OOB0LastSubmissionRqrOOBCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
Profile Password ChangeYes (X)ProfilePasswordChangeInd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL HEDDERMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15401 SOUTH STAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68506ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$186,066,087GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MADONNA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionMadonna Rehabilitation Hospitals is a Catholic organization that exists to provide medical and physical rehabilitation services to children and adults throughout the nation. We rehabilitate those who have sustained injuries or disabling conditions so they can fully participate in life; lead research to improve outcomes; and prevent physical disabilities and promote wellness through community programs.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee2389TotalEmployeeCnt
Total Volunteers167TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,459,418PYContributionsGrantsAmt
CY Contributions Grants$3,844,984CYContributionsGrantsAmt
PY Program Service Revenue$180,184,942PYProgramServiceRevenueAmt
CY Program Service Revenue$180,866,660CYProgramServiceRevenueAmt
PY Investment Income$2,927,520PYInvestmentIncomeAmt
CY Investment Income$1,354,443CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$187,571,880PYTotalRevenueAmt
CY Total Revenue$186,066,087CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$127,027,808PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$130,781,603CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$55,815,654PYOtherExpensesAmt
CY Other Expenses$61,812,603CYOtherExpensesAmt
PY Total Expenses$182,843,462PYTotalExpensesAmt
CY Total Expenses$192,594,206CYTotalExpensesAmt
PY Revenues Less Expenses$4,728,418PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,528,119CYRevenuesLessExpensesAmt
Total Assets BOY$294,312,557TotalAssetsBOYAmt
Total Assets EOY$289,566,166TotalAssetsEOYAmt
Total Liabilities BOY$91,034,746TotalLiabilitiesBOYAmt
Total Liabilities EOY$87,340,715TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$203,277,811NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$202,225,451NetAssetsOrFundBalancesEOYAmt
MissionMadonna Rehabilitation Hospitals is a Catholic organization that exists to provide medical and physical rehabilitation services to children and adults throughout the nation. We rehabilitate those who have sustained injuries or disabling conditions so they can fully participate in life; lead research to improve outcomes; and prevent physical disabilities and promote wellness through community programs.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$115,264,470ExpenseAmt
Grant$0GrantAmt
Revenue$130,190,048RevenueAmt
DescMadonna fulfills this mission by delivering expert and comprehensive rehabilitation, treating each person as a unique individual. Madonna's hospitals integrate the physical, psychological, social, spiritual and vocational aspects of each patient's life. The hospitals' programs support the unmet needs of our community and region and are devoted to returning people to their homes, communities and jobs or school. In FY 2023 Madonna admitted 2,213 hospital inpatients from 20 states. The hospital received referrals from 904 physicians and 99 hospitals or health care facilities. In FY 2023, Madonna operated two inpatient rehabilitation facilities (IRFs): Madonna Rehabilitation Hospital Lincoln (MRH-L) and Acute Rehabilitation Omaha (AR-O) and two long-term care hospitals (LTCHs): Madonna Rehabilitation Specialty Hospital Lincoln (MRSH-L) and Madonna Rehabilitation Specialty Hospital Omaha (MRSH-O). MRH-L, AR-O, MRSH-L and MRSH-O offer comprehensive care to ensure continuity as patients' progress in their recovery or from one hospital to another. All hospitals employ an interdisciplinary team approach involving the patient and family, referring physician, rehabilitation physician, hospitalist, case manager, nutrition therapist, respiratory therapist, rehabilitation nurse, physical and occupational therapists, orthotic and prosthetic technician, psychologist, social workers, speech-language pathologists, therapeutic recreation specialists, vocational rehabilitation consultants and spiritual care counselors. Madonna's experienced staff treat thousands of individuals through inpatient and outpatient services every year, offering every patient the latest techniques and methods to produce the best results. As one of the largest, freestanding rehabilitation hospital systems in the United States, Madonna provides: * Intensive therapy programming * Programs with less intensive therapy, depending on the needs of the patient * 24-hour rehabilitation nursing and physician supervision * A continuum of services to ensure progress is maintained from inpatient to outpatient programs Our specialty rehabilitation programs focus on the needs of children and adults following traumatic injury and illness, including: brain injury, spinal cord injury, stroke, pulmonary conditions, neurological disorders and major multiple trauma. Madonna Rehabilitation Hospital has 20 separate program accreditations from the Commission on the Accreditation of Rehabilitation Facilities (CARF) in the area of medical rehabilitation. This includes: * Inpatient Rehabilitation Programs for the IRFs, LTCHs and Transitional Care Unit (TCU) * Brain Injury Program - Inpatient/Outpatient (adult and pediatric) * Cancer Specialty Program - Inpatient/Outpatient (adult and pediatric), Omaha Only * Spinal Cord Specialty Program - Inpatient/Outpatient (adult and pediatric), Lincoln Only * Stroke Specialty Program - Inpatient/Outpatient (adult) * Pediatric Specialty Program - Inpatient/Outpatient * Interdisciplinary Outpatient Medical Rehabilitation Programs - Multiple Service Madonna Rehabilitation Hospital Lincoln Patients at MRH-L rank in the top 3% nationally in terms of complexity, while discharging back to community settings at a higher rate according to industry benchmarks. Despite this complexity, 74% of patients discharged directly to a community setting, compared to eRehab benchmark of 73%. Additionally, the overall patient satisfaction rate for MRH-L was 90%. Acute Rehabilitation Omaha In October of 2023, Madonna will complete its seventh year of operating rehabilitation beds in Omaha. AR-O, overall, returned 77% of patients to a community destination rather than to an institution. Additionally, the overall patient satisfaction rate for AR-O was 95%. Madonna Rehabilitation Specialty Hospital Lincoln MRSH-L FY 2023 patient discharge to home or to an acute rehabilitation hospital to continue their recovery was 55% for the year. 69% of patients admitted on a mechanical ventilator weaned in an average of 15 days. Additionally, the overall patient satisfaction rate for MRSH-L was 85%. Madonna Rehabilitation Specialty Hospital Omaha MRSH-O FY 2023 patient discharge to home or to an acute rehabilitation hospital to continue their recovery was 56% for the year. 77% of patients admitted on a mechanical ventilator weaned in an average of 17 days. Additionally, the overall patient satisfaction rate for MRSH-O was 91%.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$24,539,925ExpenseAmt
Grant$0GrantAmt
Revenue$23,710,735RevenueAmt
DescSt. Jane de Chantal (St. Jane) is comprised of a 30-bed ventilator and special care unit (VAU/SN), a 30-bed Transitional Care Rehabilitation Unit (TCU) and a 66-bed nursing home. The expansion of TCU to include all private rooms to care for clinically complex patients has been completed. Patient/family satisfaction has increased. St. Jane received a three year CARF accreditation for our Inpatient Rehabilitation Programs - Skilled Nursing (Adults), effective July 2021 - July 2024. In FY 2023 St. Jane maintained a CMS 5-star rating and continues to be recognized as one of the Best Nursing Homes in Nebraska as published in U.S. News & World Report, 2022-2023.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$11,770,254ExpenseAmt
Grant$0GrantAmt
Revenue$11,693,651RevenueAmt
DescMadonna TherapyPlus is committed to providing excellent care for patients who need outpatient rehabilitation. TherapyPlus offers a range of rehabilitation services for sports injuries, orthopedic sprains, strains and post-operative care to comprehensive rehabilitation for neurological conditions. TherapyPlus includes the Fit for Work program, which combines occupational health, wellness, safety and coordination of care for workers' compensation injuries with the expert services conveniently available from Madonna Rehabilitation Hospitals, Madonna TherapyPlus outpatient clinics and Madonna ProActive. In FY 2023, TherapyPlus had a 7.5% increase registrations and a 3.2% increase in visits compared to prior year, resulting in more patients served across all locations. TherapyPlus experienced growth in all areas including post-operative care, preventative care, and post-injury care, as well as those programmatic patients who were treated throughout the Madonna continuum of care. In FY2023, TherapyPlus continued to grow the new comprehensive Post-COVID Rehabilitation Clinic that launched the prior year. This clinic includes an interdisciplinary rehabilitation team including neuropsychology and physiatry. Focus through the clinic is to address the wide spectrum of rehabilitation needs for those who are experiencing lingering effects from COVID infection. The clinic provides an individualized approach for a safe return to life and work activities.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$19,879,850ExpenseAmt
Grant$0GrantAmt
Revenue$15,272,226RevenueAmt
DescMadonna ProActive is a medically-based health, fitness and wellness facility and the first to be based on a rehabilitation model. Madonna ProActive provides medical, therapeutic and educational fitness and wellness expertise in addition to the latest technology. In FY 2023, ProActive exceeded annual membership goals by 8.7%, ending the year with 3,464 total members. A Shift away from home-based gym setups that were created in the initial phases of the pandemic as well as, community comfort and commitment in resuming prior activities, have been the key drivers for the volume increase. In addition, ProActive continues to expand essential medical and wellness programming in several key areas to further enhance the continuum of care that Madonna provides.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$19,879,850TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$15,272,226TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$171,454,499TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2389EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL HEDDERMANPersonNm
Phone4024133000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15401 South StAddressLine1Txt
CityLincolnCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68506ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL A DONGILLI
PRESIDENT AND CHIEF EXECUTIVE OFFICER401Yes (X)Yes (X)$655,382$0$42,637
ADAM T KAFKA
PHYSICIAN MEDICAL DIRECTOR40$641,349$0$33,562Yes (X)
JIAXIN J TRAN
STAFF PHYSIATRIST40$444,480$0$26,930Yes (X)
MORGAN T LAHOLT
STAFF PHYSIATRIST40$432,704$0$30,895Yes (X)
PAUL L KRABBENHOFT
STAFF PHYSIATRIST40$367,585$0$33,184Yes (X)
MATTHEW DRIEWER
STAFF HOSPITALIST40$364,850$0$33,906Yes (X)
MICHAEL J HEDDERMAN
VICE PRESIDENT AND CHIEF FINANCIAL OFFICER40Yes (X)$293,675$0$27,992
CHRISTOPHER A LEE
VICE PRESIDENT AND CHIEF OPERATIONS OFFICER40Yes (X)$290,390$0$29,476
LOU A MANSKE
VICE PRESIDENT AND CHIEF HUMAN RESOURCES OFFICER40Yes (X)$267,739$0$24,137
DANIEL GRIESS
VP FACILITIES MANAGEMENT SYSTEM & ANCILLARY SERVICES40Yes (X)$239,010$0$24,907
TERASA M FARLIN
VICE PRESIDENT PATIENT CARE AND CNO40Yes (X)$204,751$0$34,919
LYNN R HALLOWELL-GOTTSLEBEN
VICE PRESIDENT REHABILITATION40Yes (X)$195,414$0$22,261
JEFF GROMOWSKY
VP & PHYSICIAN PRACTICE ADMINISTRATOR40Yes (X)$187,081$0$28,761
LINDA S SUNDELL-SULLIVAN
VICE PRESIDENT REFERRAL RELATIONS40Yes (X)$186,595$0$24,090
RENAE M W FEILMEIER
VICE PRESIDENT AND CHIEF HUMAN RESOURCES OFFICER40Yes (X)$53,360$0$7,529
LAUREN PUGLIESE
CHAIRPERSON11Yes (X)Yes (X)$0$0$0
TERRY ZACH MD
VICE CHAIRPERSON1Yes (X)Yes (X)$0$0$0
JOHN SULLIVAN FR
VICE PRESIDENT1Yes (X)Yes (X)$0$0$0
DAN VOKOUN
SECRETARY1Yes (X)Yes (X)$0$0$0
WILL DOUGLAS
TREASURER1Yes (X)Yes (X)$0$0$0
SCOTT BECKER CPA
MEMBER1Yes (X)$0$0$0
SCOTT CASSELS
MEMBER1Yes (X)$0$0$0
MARK FAHLESON JD
MEMBER1Yes (X)$0$0$0
DAVID GANNON MD
MEMBER1Yes (X)$0$0$0
KACEY LEMPKA
MEMBER1Yes (X)$0$0$0
BRAD NIETFELDT
MEMBER1Yes (X)$0$0$0
GARY PERKINS
MEMBER1Yes (X)$0$0$0
PATRICK SPETHMAN
MEMBER1Yes (X)$0$0$0
GREG VASEK
MEMBER1Yes (X)$0$0$0
SARAH WALKER PHD
MEMBER1Yes (X)$0$0$0
KEVIN WERTS
MEMBER1Yes (X)$0$0$0
NICK WILWERDING
MEMBER1Yes (X)$0$0$0
MARIA LIGHTHALL
MEMBER11Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,824,365TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$425,186TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K138IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RTG MEDICAL
1005 E 23RD ST STE 200FREMONTNE68025MEDICAL SERVICES$7,584,189
NEBRASKA MEDICINE
4350 DEWEY AVEOMAHANE68105MEDICAL SERVICES$2,248,537
UNMC
985045 NEBRASKA MEDICAL CENTEROMAHANE68198MEDICAL EDUCATION$1,745,141
AUREUS RADIOLOGY LLC
PO BOX 3037OMAHANE68103MEDICAL SERVICES$1,201,091
FUSION MEDICAL STAFFING LLC
P O BOX 82674LINCOLNNE68501STAFFING SERVICES$885,061
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$2,828,065RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$1,016,919AllOtherContributionsAmt
Noncash Contributions$64,169NoncashContributionsAmt
Total Contributions$3,844,984TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Service Revenue (net)900099$130,190,048$130,190,048$0$0
Long-Term Care900099$23,710,735$23,710,735$0$0
Outpatient900099$11,693,651$11,693,651$0$0
Physician Services900099$9,101,547$9,101,547$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,170,679TotalRevenueColumnAmt
Related Or Exempt Func Income$6,170,679RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$180,866,660TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,354,443TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,354,443ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,066,087TotalRevenueColumnAmt
Related Or Exempt Func Income$180,866,660RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,354,443ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,573,397TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,573,397ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$103,185,611TotalAmt
Program Services$92,852,134ProgramServicesAmt
Management And General$10,333,477ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,955,512TotalAmt
Program Services$2,928,512ProgramServicesAmt
Management And General$27,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,602,782TotalAmt
Program Services$13,313,360ProgramServicesAmt
Management And General$1,289,422ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,464,301TotalAmt
Program Services$6,916,532ProgramServicesAmt
Management And General$547,769ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$176,432TotalAmt
Program Services$41,282ProgramServicesAmt
Management And General$135,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$79,270TotalAmt
Program Services$0ProgramServicesAmt
Management And General$79,270ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$45,229TotalAmt
Program Services$0ProgramServicesAmt
Management And General$45,229ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,108,737TotalAmt
Program Services$23,786,983ProgramServicesAmt
Management And General$1,321,754ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,208,775TotalAmt
Program Services$314,197ProgramServicesAmt
Management And General$894,578ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,449,238TotalAmt
Program Services$11,150,728ProgramServicesAmt
Management And General$298,510ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,603,493TotalAmt
Program Services$1,741,261ProgramServicesAmt
Management And General$862,232ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,279,344TotalAmt
Program Services$2,329,216ProgramServicesAmt
Management And General$950,128ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$605,901TotalAmt
Program Services$545,866ProgramServicesAmt
Management And General$60,035ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$399,135TotalAmt
Program Services$357,786ProgramServicesAmt
Management And General$41,349ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,884,180TotalAmt
Program Services$2,610,846ProgramServicesAmt
Management And General$273,334ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,915,164TotalAmt
Program Services$11,054,618ProgramServicesAmt
Management And General$860,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,121,016TotalAmt
Program Services$1,121,016ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total$936,689TotalAmt
Program Services$390,162ProgramServicesAmt
Management And General$546,527ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$192,594,206TotalAmt
Program Services$171,454,499ProgramServicesAmt
Management And General$21,139,707ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,787,362BOYAmt
EOY$14,462,488EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,798,982BOYAmt
EOY$45,911,884EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,942,901BOYAmt
EOY$1,876,702EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,100,539BOYAmt
EOY$1,868,981EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$296,482,157LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$128,214,546LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$166,371,797BOYAmt
EOY$168,267,611EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$62,361,448BOYAmt
EOY$56,338,911EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$949,528BOYAmt
EOY$839,589EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$294,312,557BOYAmt
EOY$289,566,166EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,781,949BOYAmt
EOY$22,427,630EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,572,445BOYAmt
EOY$59,753,585EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,680,352BOYAmt
EOY$5,159,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,034,746BOYAmt
EOY$87,340,715EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$203,266,296BOYAmt
EOY$200,992,014EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,515BOYAmt
EOY$1,233,437EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$203,277,811BOYAmt
EOY$202,225,451EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$294,312,557BOYAmt
EOY$289,566,166EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,528,119ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,253,837NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$1,221,922OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$45,229OtherActivitiesAmt
Total Lobbying Expenditures$45,229TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationMadonna Rehabilitation Hospital ("Madonna") has retained the lobbying services of a local lobbying firm to monitor legislation at the state level in Nebraska impacting Nebraska hospitals and long term care facilities generally, and Madonna specifically. Madonna is a member of the Nebraska Hospital Association ("NHA"). As part of its activities, the NHA provides lobbying services and monitors state legislation of concern to its members. On the national level, Madonna is a member of the American Rehabilitation Providers Association ("AMRPA") and the National Association of Long Term Hospitals ("NALTH"). Among other services provided to its members, AMRPA and NALTH lobby and monitor federal legislation on behalf of their members.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$9,282,088OtherCostOrOtherBasisAmt
Book Value$9,282,088BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$193,899,768OtherCostOrOtherBasisAmt
Depreciation$65,264,368DepreciationAmt
Book Value$128,635,400BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$87,626,205OtherCostOrOtherBasisAmt
Depreciation$60,316,758DepreciationAmt
Book Value$27,309,447BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$5,674,096OtherCostOrOtherBasisAmt
Depreciation$2,633,420DepreciationAmt
Book Value$3,040,676BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$168,267,611TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
457 Plans$3,312,759
Lease Obligations$1,196,741
Current portion of Work Comp Reserve$650,000
FieldValueIRS element (for citing)
Total Liability$5,159,500TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$189,098,002TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,253,837NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$4,253,837RevenueNotReportedAmt
Revenue Subtotal$184,844,165RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,221,922OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,221,922RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$186,066,087TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$192,594,206TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$192,594,206ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$192,594,206TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2Madonna is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code. Madonna has received a determination letter that it is exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. The Internal Revenue Service has established standards to be met to maintain tax exempt status. In general, such standards require Madonna to meet a community benefit standard and comply with various laws and regulations. Madonna accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in FASB ASC Topic 740, Income Taxes. Madonna recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At June 30, 2023 and 2022, Madonna had no uncertain tax positions accrued.
Schedule D, Part XI, Line 4bCHANGES IN TEMPORARILY RESTRICTED NET ASSETS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other3FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,588,074TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,588,074NetCommunityBenefitExpnsAmt
Total Expense0.0134TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,225,210TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,225,210NetCommunityBenefitExpnsAmt
Total Expense0.0271TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$7,813,284TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,813,284NetCommunityBenefitExpnsAmt
Total Expense0.0405TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$181,691TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$181,691NetCommunityBenefitExpnsAmt
Total Expense0.0009TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,236,503TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,236,503NetCommunityBenefitExpnsAmt
Total Expense0.0116TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$745,437TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$745,437NetCommunityBenefitExpnsAmt
Total Expense0.0039TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$962,721TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$962,721NetCommunityBenefitExpnsAmt
Total Expense0.005TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$423,170TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$423,170NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$4,549,522TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,549,522NetCommunityBenefitExpnsAmt
Total Expense0.0236TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$12,362,806TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,362,806NetCommunityBenefitExpnsAmt
Total Expense0.0641TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$632,717TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,080DirectOffsettingRevenueAmt
Net Community Benefit Expns$631,637NetCommunityBenefitExpnsAmt
Total Expense0.0033TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$632,717TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,080DirectOffsettingRevenueAmt
Net Community Benefit Expns$631,637NetCommunityBenefitExpnsAmt
Total Expense0.0033TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,613,783BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$44,487,678ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$64,129,319CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$19,641,641MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndOtherOtherDescFacility Reporting GroupFacilityReportingGroupCd
MADONNA REHABILITAION HOSPITAL LINCOLN
15401 SOUTH STLINCOLNNE68506WWW.MADONNA.ORG500005Yes (X)ACUTE REHABILITATION HOSPITALA
MADONNA REHABILITATION SPECIALTY HOSPITAL OMAHA
217500 BURKE STREETOMAHANE68118WWW.MADONNA.ORGH000129Yes (X)LONG TERM CARE HOSPITALA
MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN
35401 SOUTH STREETLINCOLNNE68506WWW.MADONNA.ORG507001Yes (X)LONG TERM CARE HOSPITALA

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V SECTION C NARRATIVE FOR FULL WEB ADDRESSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.madonna.org/patient-resources/patient-financial-servicesFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.madonna.org/patient-resources/patient-financial-servicesFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.madonna.org/patient-resources/patient-financial-servicesFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care Policy0NondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Group A* Madonna uses multiple avenues to collect data regarding the needs of its community, including patient satisfaction surveys, meeting minutes from local, state, regional and national organizations, capital campaign requests and other data sources. This is an ongoing process that is integrated into strategic planning and annual goal setting. A needs assessment questionnaire was distributed to the community and the results were collected and analyzed in fiscal year 2022 (tax year 2021). The results were discussed at Strategic Planning Committee meetings during the planning phases for fiscal year 2023. Hospital leadership regularly reviews and discusses community needs during weekly administrative team meetings. Many of these needs are addressed through capital item requests and programming updates and/or additions. Additionally, community needs are brought forth and discussed in numerous organizational and individual meetings at all levels. Madonna Rehabilitation Hospital executives, managers and clinicians are encouraged to meet with their counterparts in peer institutions and to pursue leadership positions in their areas of expertise. Each year, Madonna staff members are elected and/or are appointed to boards, special task forces and other leadership positions. In these positions, Madonna staff gets direct input from colleagues in affiliated organizations and with patients in the community served.
Schedule H, Part V, Section B, Line 5-Group A MADONNA REHABILITAION HOSPITAL LINCOLN* Madonna uses multiple avenues to collect data regarding the needs of its community, including patient satisfaction surveys, meeting minutes from local, state, regional and national organizations, capital campaign requests and other data sources. This is an ongoing process that is integrated into strategic planning and annual goal setting. A needs assessment questionnaire was distributed to the community and the results were collected and analyzed in fiscal year 2022 (tax year 2021). The results were discussed at Strategic Planning Committee meetings during the planning phases for fiscal year 2023. Hospital leadership regularly reviews and discusses community needs during weekly administrative team meetings. Many of these needs are addressed through capital item requests and programming updates and/or additions. Additionally, community needs are brought forth and discussed in numerous organizational and individual meetings at all levels. Madonna Rehabilitation Hospital executives, managers and clinicians are encouraged to meet with their counterparts in peer institutions and to pursue leadership positions in their areas of expertise. Each year, Madonna staff members are elected and/or are appointed to boards, special task forces and other leadership positions. In these positions, Madonna staff gets direct input from colleagues in affiliated organizations and with patients in the community served.
Schedule H, Part V, Section B, Line 11-Group AFACILITY 1 MADONNA REHABILITATION HOSPITAL FACILITY 2 MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN FACILITY 3 MADONNA REHABILITATION SPECIALTY HOSPITAL OMAHA
Schedule H, Part V, Section B, Line 11-Group A MADONNA REHABILITAION HOSPITAL LINCOLNPurpose for the Plan This implementation strategy (Strategy) addresses the prioritized Community Health Care Needs Identified in the Community Health Needs Assessment (CHNA) conducted for the fiscal 2022 year and approved by the hospital's Board of Directors. The plan also meets the requirements for community benefit planning as set forth in Section 501(r) of the Internal Revenue Code (the "Code") as part of the Affordable Care Act. The CHNA for Madonna Rehabilitation Hospital may be reviewed in its entirety at https://www.madonna.org/about Areas of Focus As a result of the analysis, three areas were identified as the priorities on which Madonna will focus for the next three years. These three needs are: Lincoln Campus physical plant alignment with clinical needs, Lincoln campus clinical and ancillary services expansion, and the Nebraska Physiatrist Residency Program. Priority 1: Align the Lincoln Campus physical plant with space required to meet the clinical needs of a high-acuity, specialized patient population (Madonna's "community"). Strategy: Expand and construct physical space to support the specialized equipment, cutting edge technology and family involvement required for Physical Medicine and Rehabilitation programs. Priority 2: Expand Lincoln Campus on-site clinical and ancillary services required to meet the clinical needs of a high-acuity, specialized patient population (Madonna's "community"). Strategy: Implement/expand appropriate on-site diagnostic imaging, laboratory, telemetry, specialized physician services and nursing skills to improve patient quality and outcomes. Priority 3: Complete the implementation of the newly established Physical Medicine and Rehabilitation Graduate Medical Education Residency Training Program. Strategy: In collaboration with the University of Nebraska Medical Center College of Medicine (UNMC-COM), gradually increase the number of residents to the four year program capacity of 16 residents in 2022. Additionally, in collaboration with UNMC-COM, recruit and fill all required faculty positions. Next Steps This implementation strategy will be executed over the next three years. Periodic evaluation of objectives for each identified priority will be conducted to assure that Madonna is on track to complete the plan as described. At the end of fiscal year 2022 Madonna Rehabilitation Hospital will review the Implementation Strategy and report on the success experienced through the collaborative efforts of improving the health needs of the community.
Schedule H, Part V, Section B, Line 13-Group AFPG is used to determine eligibility for financial assistance. If financial assistance is granted, it is for free care only.
Schedule H, Part V, Section B, Line 16a-Group Ahttps://www.madonna.org/patient-resources/patient-financial-services
Schedule H, Part V, Section B, Line 16b-Group Ahttps://www.madonna.org/patient-resources/patient-financial-services
Schedule H, Part V, Section B, Line 16c-Group Ahttps://www.madonna.org/patient-resources/patient-financial-services
Schedule H, Part V, Section B, Line 20e-Group AMadonna Rehabilitation Hospital offers the following: Assistance with filling out applications for SSI, SSD, Medicaid and/or General Assistance Advocate for the patient with third party payers, government payers, and other entities that may restrict or deny benefits inappropriately Assist patient/families with billing/payment questions from prior stays to help escalate resolution and ensure that all appropriate documents have been returned to the payer for claims adjudication Extended payment plans Liability settlement pending without any other payer source Courtesy calls at time of final notice and prior to listing for collections
Schedule H, Part V, Section B, Line 22d-Group AThe amount of financial assistance is considered to be 100% of charges less the contractual adjustment for Amounts Generally Billed (AGB). AGB is the weighted average percentage as calculated by dividing the sum of commercial and Medicare contractual adjustments by the sum of commercial and Medicare gross charges.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ST JANE DE CHANTAL
2200 S 52ND STREETLINCOLNNE68506NURSING FACILITY (NF)
MADONNA THERAPY PLUS
5401 SOUTH STREETLINCOLNNE68506OUTPATIENT CLINICS (4)
MADONNA PROACTIVE HEALTH & FITNESS
7111 STEPHANIE LANELINCOLNNE68516MEDICAL FITNESS CENTER
REHABILITATION SPECIALISTS
5445 SOUTH STREETLINCOLNNE68506INPATIENT & OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3cIf financial assistance is granted, it is for free care only.
Schedule H, Part I, Line 6aThe Community Benefit report is made available cost-free to the public at https://www.madonna.org/theindependent.
Schedule H, Part I, Line 7Medicare losses have increased significantly in recent years and no longer approximate the costs incurred to serve Medicare patients. This is due to reimbursement methodology changes that have resulted in decreasing payments despite inflationary growth in costs.
Schedule H, Part II* Madonna's medically based health and fitness center (Madonna ProActive) is focused on improving the overall wellness of the community by reducing chronic risk factors through various health programs. * Madonna's Adaptive Sports program provides opportunities for children and adults with acquired physical disabilities to participate in recreational activities that are designed to promote physical health and wellness. The program is open to Madonna inpatients and outpatients as well as community members.
Schedule H, Part II, Line 9Madonna's medically based health and fitness center (Madonna ProActive) is focused on improving the overall wellness of the community by reducing chronic risk factors through various health programs. Madonna's Adaptive Sports program provides opportunities for children and adults with acquired physical disabilities to participate in recreational activities that are designed to promote physical health and wellness. The program is open to Madonna inpatients and outpatients as well as community members.
Schedule H, Part III, Section A, Line 4The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and assesses those accounts that will transition to self-pay patients based on analysis of payment history. Those transition accounts are considered in conjunction with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill). The Hospital records a provision for bad debts in the period of service on the basis of its past experience, which indicates that certain patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. In many cases, the Hospital is able to negotiate payment subsequent to the initial determination of the collectability of the account. In these cases, the Hospital records additional contractual allowances and discounts. Upon consideration of the fact certain patient accounts that were previously allowed for are collected through negotiation and adjusted at the time of payment, the Hospital has determined the provision for bad debts is not significant to the financial statements and has combined with contractual allowances and discounts.
Schedule H, Part III, Section B, Line 8A cost accounting system is used by Madonna and it addresses all patient segments. None of the shortfall has been reported as community benefit.
Schedule H, Part III, Section C, Line 9bAll charges for patients found eligible for financial assistance are waived. Once this eligibility is confirmed, all collection activities are discontinued.
Schedule H, Part VI, Line 2The entire process of assessment is included in the description in Part V, Section B.
Schedule H, Part VI, Line 3The insurance status of all patients is assessed at the time of admission. The admissions process includes regular communication with patients and their families, and insurance status is a significant part of this process. Patients without insurance are assisted in their applications for Medicaid if it appears they may qualify. Patients whose Medicaid applications are pending are regularly admitted. Financial Assistance is granted to patients who are denied for Medicaid but are unable to pay, in accordance with the Financial Assistance Policy.
Schedule H, Part VI, Line 4The description of Madonna Rehabilitation Hospital's community in the 2022 CHNA: Madonna is one of the nation's largest specialized rehabilitation hospitals. Madonna treats children and adults with complex disabilities due to traumatic brain injury, spinal cord injury, stroke, neurological disorders, burns, pulmonary disease, and other disabling conditions. This is Madonna's "community" - the people who require inpatient post-acute physical rehabilitation to reduce or eliminate impairments, activity limitations, and participation restrictions. Unlike acute care hospitals, Madonna does not define "community served" as a geographic area, but rather by the priority population that requires these highly specialized services. This population includes people of all ages, gender, income level, and race from throughout the country.
Schedule H, Part VI, Line 5In an effort to meet the growing needs of the pediatric population, Madonna has expanded its designated area and features a pediatric therapy gym, allowing the youngest patients to receive age-appropriate rehabilitation services. Madonna has also renovated the Kit Scott Therapeutic Learning Center. The goal of the Learning Center is to help students successfully transition back to their home and school settings. Madonna also provides services to the community which would otherwise be unavailable or underserved, such as community medical transportation. Madonna physicians and therapists also present at numerous conferences throughout the year, providing recognized expertise to the community on rehabilitation and other relevant topics. In addition to our medical facilities (which include Lincoln's first medical fitness facility), Madonna provides volunteer and financial support to the community. Madonna employees donate hundreds of units of blood onsite each year and serve more than 1,000 meals each year at Matt Talbot Kitchen. Financial support include individual employee and organizational donations of money and supplies to patients and their families, area food banks, churches, missionaries, social services organizations, and health associations. In some cases, Madonna organizes fundraisers designed to benefit these organizations. Outside organizations are also allowed to use Madonna's meeting rooms at no charge.
Schedule H, Part VI, Line 7Nebraska is the only state in which Madonna Rehabilitation Hospital files a community benefit report.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL A DONGILLI
PRESIDENT AND CHIEF EXECUTIVE OFFICER$655,382$0$0$0$0$0$38,600$0$4,037$0$698,019$0$0$0
ADAM T KAFKA
PHYSICIAN MEDICAL DIRECTOR$641,349$0$0$0$0$0$24,100$0$9,462$0$674,911$0$0$0
JIAXIN J TRAN
STAFF PHYSIATRIST$444,480$0$0$0$0$0$24,791$0$2,139$0$471,410$0$0$0
MORGAN T LAHOLT
STAFF PHYSIATRIST$432,704$0$0$0$0$0$24,100$0$6,795$0$463,599$0$0$0
PAUL L KRABBENHOFT
STAFF PHYSIATRIST$367,585$0$0$0$0$0$24,100$0$9,084$0$400,769$0$0$0
MATTHEW DRIEWER
STAFF HOSPITALIST$364,850$0$0$0$0$0$28,720$0$5,186$0$398,756$0$0$0
MICHAEL J HEDDERMAN
VICE PRESIDENT AND CHIEF FINANCIAL OFFICER$293,675$0$0$0$0$0$25,006$0$2,986$0$321,667$0$0$0
CHRISTOPHER A LEE
VICE PRESIDENT AND CHIEF OPERATIONS OFFICER$290,390$0$0$0$0$0$23,687$0$5,789$0$319,866$0$0$0
LOU A MANSKE
VICE PRESIDENT AND CHIEF HUMAN RESOURCES OFFICER$267,739$0$0$0$0$0$24,929$0-$792$0$291,876$0$0$0
DANIEL GRIESS
VP FACILITIES MANAGEMENT SYSTEM & ANCILLARY SERVICES$239,010$0$0$0$0$0$22,807$0$2,100$0$263,917$0$0$0
TERASA M FARLIN
VICE PRESIDENT PATIENT CARE AND CNO$204,751$0$0$0$0$0$28,129$0$6,790$0$239,670$0$0$0
LYNN R HALLOWELL-GOTTSLEBEN
VICE PRESIDENT REHABILITATION$195,414$0$0$0$0$0$19,205$0$3,056$0$217,675$0$0$0
JEFF GROMOWSKY
VP & PHYSICIAN PRACTICE ADMINISTRATOR$187,081$0$0$0$0$0$21,117$0$7,644$0$215,842$0$0$0
LINDA S SUNDELL-SULLIVAN
VICE PRESIDENT REFERRAL RELATIONS$186,595$0$0$0$0$0$20,617$0$3,473$0$210,685$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 5All hospital managers, approximately eighty, are eligible participants of the hospital's Management Incentive Compensation Plan. The Plan provides a structure for measuring the hospital's overall quality and financial performance. This plan allows for recognition and compensation when the hospital's performance exceeds baseline criteria. Upon achievement of an established quality benchmark, compensation is determined based upon a fixed formula encompassing revenues, earnings and participants' wages. The formula is applied equally to all participants.
Schedule J, Part I, Line 6See explanation for Line 5.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Hospital Authority No 2 of Douglas County NEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521440796BondIssuerEIN
Bond Issued2014-09-25BondIssuedDt
Issue Price$86,048,946IssuePriceAmt
Purposeconstruct, equip and furnish new hospital facility in Omaha, NEPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$21,775,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$86,048,946TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$5,911,150CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$989,867IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$79,147,929CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column c-09/25/2014 86,048,946 Hospital Authority No 2 of Douglas County NE25923P AA3, 25923P AB1, 25923P AC9, 25923P AD7, 25923P AE5, 25923P AF2, 25923P AS4, 25923P AG0, 25923P AH8, 25923P AJ4, 25923P AV7, 25923P AK1, 25923P AL9, 25923P AM7, 25923P AN5, 25923P AP0, 25923P AR6, 25923P AT2, 25923P AU9, 25923P AQ8
Schedule K, Part IV, Line 2c-09/25/2014 86,048,946 Hospital Authority No 2 of Douglas County NERebate computation performed May 15, 2018

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescVARIOUSDesc
Contribution146ContributionCnt
Noncash Contributions Rpt F990$64,169NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I, Line 32bFormAndLineReferenceDesc
ExplanationUSE OF VARIOUS FINANCIAL INSTITUTIONS TO SELL STOCK GIFTS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 3Food service operations are contracted with Aramark; an outside management corporation. No current or former officers, directors, trustees, key employees, or highest compensated employees were compensated by Aramark during the tax year.
Form 990, Part VI, Section A, Line 6The Diocesan Health Ministries, a Nebraska Nonprofit Corporation, is the sole member of Madonna Rehabilitation Hospital.
Form 990, Part VI, Section A, Line 7aThe Diocesan Health Ministries may designate one member of the organization's Board of Directors, as provided in the organization's articles of incorporation.
Form 990, Part VI, Section A, Line 7bThe Member, Diocesan Health Ministries, has final approval of: (1) Changes in philosophy and mission; (2) Matters involving sale, lease, transfer, exchange, disposition, pledge or alienation of real property in excess of five hundred thousand dollars ($500,000.00); (3) Matters involving purchase and/or encumbrance with debt, in any way, of real property in excess of five hundred thousand dollars ($500,000.00); (4) Community members nominated to serve on the Board of Directors; (5) Amendments, alterations or changes in the Articles of Incorporation or Bylaws; (6) The annual capital budget; (7) CEO selection; (8) Merger, consolidation, dissolution. The Board of Directors approves and forwards to the Member, for its review the annual report and the operating budget.
Form 990, Part VI, Section B, Line 11bPrior to filing the organization's Form 990, the Chief Financial Officer presents the completed Form 990 and an executive overview of the Form 990 to the Finance and Audit Committee of the Board of Directors at a regularly scheduled meeting. The Finance and Audit Committee approves a motion to accept and forward to the Board of Directors the Form 990. Subsequently, the Finance and Audit Committee Board Chairperson (the organization's Board Treasurer) presents the Form 990 to the Board of Directors. Upon Board resolution to accept the Form 990 the Form 990 is filed with the Internal Revenue Service.
Form 990, Part VI, Section B, Line 12cThe organization annually distributes its Conflict of Interest Policy and Disclosure Form to Directors, Officers and key employees. The responses are reviewed by the Board of Directors and its counsel, and any appropriate action is taken, based upon those responses and the subsequent review.
Form 990, Part VI, Section B, Line 15Madonna Executive Compensation Plan The Executive Compensation Committee will make recommendations for the annual compensation of the Chief Executive Officer (CEO), and Chief Financial Officer (CFO). The Madonna Executive Compensation plan requires national salary benchmarks be used for the CEO and CFO positions. -Base Salary: the executive compensation committee annually determines the CEO's base salary by reviewing 990 data from nonprofit rehabilitation hospitals at a national level as well as other relevant data. Ideally, the data from nonprofit rehabilitation hospitals should be for hospitals within approximately plus or minus 50% of Madonna's gross revenues recognizing a need for a minimum of at least eight comparable sized institutions. The analysis includes reporting the salaries for benchmark firms (from 990 data) reported by the Vice President human resources. Other sources of information and data may be used as needed from third party salary surveys in addition to or in lieu of 990 data as deemed necessary from year to year. The annual compensation adjustment for the CEO and CFO is to represent both the market changes and the merit performance.
Form 990, Part VI, Section C, Line 19Summarized financial information is made available to the public on an annual basis through the publication of the Hospital's public annual report. In addition, the public annual report is available on the Hospital's website. The Hospital's governing documents and conflict of interest policy are not available to the public.
Form 990, Part IX, Line 11gTOTAL PROGRAM MANAGEMENT FUNDRAISING CONTRACT LABOR 12,821,227 12,776,436 44,792 - MAINTENANCE CONTRACTS 6,958,882 6,240,782 718,100 - MEDICAL SERVICE FEES 4,154,434 4,154,434 - - MISCELLANEOUS OTHER 1,174,194 615,331 558,863 - TOTAL 11g 25,108,737 23,786,983 1,321,754 -
Form 990, Part XI, Line 9Change in temporarily restricted net assets.
Form 990, Part XII, Line 2cThe Finance Committee of the Board of Directors is responsible for the oversight of the audit and the selection of the independent auditor. The process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MADONNA FOUNDATION
5401 SOUTH STLINCOLNNE68506237159940FUNDRAISING SUPPORTNE501 (c)(3)12b (Type II)MADONNA REHABILITATION HOSPITALSYes (1)
MADONNA INC
5401 SOUTH STLINCOLNNE685063633972845401 SOUTH STNE501 (c)(3)12b (Type II)MADONNA REHABILITATION HOSPITALSYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MADONNA FOUNDATION
l$163,000FINANCIAL RECORD
MADONNA FOUNDATION
m$1,370,648FINANCIAL RECORD
MADONNA FOUNDATION
p$431,402FINANCIAL RECORD
MADONNA FOUNDATION
s$2,913,650FINANCIAL RECORD
MADONNA INC
s$22,196FINANCIAL RECORD