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CHILDRENS HOSPITAL & MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL & MEDICAL CENTER (EIN 47-0379754)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202423209349314052
Schema version
2023v5.1
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)
Return2024-11-15T12:50:57-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11212 NORTH 96TH STREET SUITE 300AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470379754EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone4029556262PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY HATCHERPersonNm
Person TitleCFOPersonTitleTxt
Phone4029556262PhoneNum
Signature2024-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHOLLY K MOENPreparerPersonNm
PTINP01800653PTIN
Phone4023481450PhoneNum
Preparation2024-11-07PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S NEBRASKABusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCHANDA CHACONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$760,357,854GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSNEBRASKA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO IMPROVE THE LIFE OF EVERY CHILD THROUGH EXCEPTIONAL CARE, ADVOCACY, RESEARCH, AND EDUCATION.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee4177TotalEmployeeCnt
Total Volunteers137TotalVolunteersCnt
Total Gross UBI$1,524,882TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$856,044NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,403,889PYContributionsGrantsAmt
CY Contributions Grants$9,774,507CYContributionsGrantsAmt
PY Program Service Revenue$550,385,169PYProgramServiceRevenueAmt
CY Program Service Revenue$605,143,914CYProgramServiceRevenueAmt
PY Investment Income$5,502,664PYInvestmentIncomeAmt
CY Investment Income$15,217,614CYInvestmentIncomeAmt
PY Other Revenue$15,828,482PYOtherRevenueAmt
CY Other Revenue$16,706,751CYOtherRevenueAmt
PY Total Revenue$581,120,204PYTotalRevenueAmt
CY Total Revenue$646,842,786CYTotalRevenueAmt
PY Grants And Similar Paid$15,823,508PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,934,318CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$288,844,775PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$314,891,399CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$528CYTotalFundraisingExpenseAmt
PY Other Expenses$248,552,910PYOtherExpensesAmt
CY Other Expenses$271,857,751CYOtherExpensesAmt
PY Total Expenses$553,221,193PYTotalExpensesAmt
CY Total Expenses$602,683,468CYTotalExpensesAmt
PY Revenues Less Expenses$27,899,011PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$44,159,318CYRevenuesLessExpensesAmt
Total Assets BOY$1,273,488,401TotalAssetsBOYAmt
Total Assets EOY$1,395,470,547TotalAssetsEOYAmt
Total Liabilities BOY$360,866,441TotalLiabilitiesBOYAmt
Total Liabilities EOY$362,259,056TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$912,621,960NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,033,211,491NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE LIFE OF EVERY CHILD - THROUGH EXCEPTIONAL CARE, ADVOCACY, RESEARCH AND EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$492,185,469ExpenseAmt
Grant$15,934,318GrantAmt
Revenue$631,753,773RevenueAmt
DescTHE HOSPITAL OPERATES A 225 LICENSED-BED PEDIATRIC HOSPITAL, WHICH INCLUDES 13 SURGICAL SUITES, TWO HYBRID HEART CATHETERIZATION LABS, AN OUTPATIENT SURGERY CENTER INCLUDING 4 SURGICAL SUITES.CHILDREN'S HAS ACHIEVED THE MAGNET DESIGNATION FOR NURSING EXCELLENCE, AND ITS PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS HAVE EARNED A BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, WHICH RECOGNIZES CRITICAL CARE UNITS WITH EXCELLENT PATIENT OUTCOMES THAT EXCEED NATIONAL BENCHMARKS. THE HOSPITAL WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT IN THE PULMONOLOGY & LUNG SURGERY SPECIALTY.CHILDREN'S SPECIALTY PEDIATRIC CENTER OFFERS MORE THAN 100 OUTPATIENT SPECIALTY AND SUB-SPECIALTY CLINICS, PROVIDING DIAGNOSTICS, TREATMENT, AND THERAPY. IN ADDITION, THE HOSPITAL PROVIDES OUTPATIENT BEHAVIORAL HEALTH AND A FULL ARRAY OF PEDIATRIC HOME HEALTHCARE SERVICES TO CHILDREN AND ADOLESCENTS WHO HAVE IMMEDIATE OR LONG-TERM HEALTHCARE NEEDS. THE HOSPITAL IS HOME TO THE REGION'S ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT AND THE ONLY DEDICATED PEDIATRIC EMERGENCY DEPARTMENT WITH LEVEL II PEDIATRIC TRAUMA CERTIFICATION. THE HOSPITAL ALSO PROVIDES SPECIALTY PEDIATRIC CARE SERVICES IN COMMUNITIES ACROSS THREE STATES.Desc
Total Program Service Expenses$492,185,469TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
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 Document337IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4177EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
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
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY HATCHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4029556262PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
FARHAN KHAN
MEMBER1.000.00Yes (X)$0$0$0
KENNY ROCKER
MEMBER1.000.00Yes (X)$0$0$0
STEVE LINDSAY
MEMBER1.000.00Yes (X)$0$0$0
CINDY HEIDER
MEMBER1.000.00Yes (X)$0$0$0
ROBERT DUNLAY MD
MEMBER1.000.00Yes (X)$0$0$0
DAVE DIAMOND
MEMBER1.000.00Yes (X)$0$0$0
AMY RYAN
TREASURER1.000.00Yes (X)$0$0$0Yes (X)
SAMANTHA MOSSER
SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
STACY SCHOLTZ
VICE CHAIR1.000.00Yes (X)$0$0$0Yes (X)
MARGARET HERSHISER
CHAIR1.000.00Yes (X)$0$0$0Yes (X)
SHEILAH SNYDER MD
MEMBER1.000.00Yes (X)$0$0$0
JONATHAN WEGNER
MEMBER1.00Yes (X)$0$0$0
H DELE DAVIES MD
MEMBER1.000.00Yes (X)$0$0$0
CHANDA CHACON
PRESIDENT & CEO40.000.00Yes (X)$1,364,774$0$247,043Yes (X)
AMY HATCHER
EVP & CFO39.001.00$812,392$0$120,018Yes (X)
PAM JOHNSON-CARLSON
SVP PATIENT CARE SERVICES & CNO40.000.00$449,604$0$25,443Yes (X)
KATHY ENGLISH
EVP COO & CNO40.000.00$877,692$0$45,936Yes (X)
JANEL ALLEN
SVP & CHIEF PEOPLE OFFICER40.000.00$556,806$0$86,764Yes (X)
AMY BONES
SVP & GENERAL COUNSEL40.000.00$857,189$0$36,802Yes (X)
JEROLD VUCHAK
SVP CHIEF INFO OFFICER40.000.00$605,458$0$85,640Yes (X)
CHRISTOPHER MALONEY MD
EVP CHIEF CLINICAL OFFICER40.000.00$1,017,080$0$133,991Yes (X)
ERIN WILLIS-LOUCKS MD
PHYSICIAN40.000.00$901,041$0$55,017Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,442,036TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$836,654TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K590IndivRcvdGreaterThan100KCnt
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
CHOICE SOLUTIONS LLC
7015 COLLEGE BLVD STE 300OVERLAND PARKKS66211IT SERVICES$3,353,092
PROLINK HEALTHCARE LLC
4600 MONTGOMERY RD STE 300CINCINNATIOH45212STAFFING SERVICES$1,530,713
NODDLE VP1 LLC
2285 S 67TH ST STE 250OMAHANE68106FACILITIES SERVICES$1,028,727
UNMC PHYSICIANS
983135 NEBRASKA MEDICAL CENTEROMAHANE68198PATHOLOGY SERVICES$812,874
SWISTAK ENTERPRISES LLC
4624 CREST RIDGE LOOPBLAIRNE68008FACILITIES SERVICES$777,143
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K51CntrctRcvdGreaterThan100KCnt
Related Organizations$8,474,685RelatedOrganizationsAmt
Government Grants$1,295,322GovernmentGrantsAmt
All Other Contributions$4,500AllOtherContributionsAmt
Total Contributions$9,774,507TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business622110BusinessCd
Total Revenue Column$605,143,914TotalRevenueColumnAmt
Related Or Exempt Func Income$605,143,914RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$605,143,914TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,514,935TotalRevenueColumnAmt
Unrelated Business Revenue$913,861UnrelatedBusinessRevenueAmt
Exclusion$9,601,074ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$611,827RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$611,827RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$611,827TotalRevenueColumnAmt
Exclusion$611,827ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$103,841,946SecuritiesAmt
Other$14,375,801OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$99,061,545SecuritiesAmt
Other$14,453,523OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,780,401SecuritiesAmt
Other-$77,722OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,702,679TotalRevenueColumnAmt
Exclusion$4,702,679ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE INCOME541610$8,746,855$8,746,855
CAFETERIA INCOME900099$2,504,347$2,504,347
INTERCOMPANY RENTAL900099$1,280,981$1,280,981

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,562,741TotalRevenueColumnAmt
Related Or Exempt Func Income$2,951,720RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$611,021UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,094,924OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$646,842,786TotalRevenueColumnAmt
Related Or Exempt Func Income$620,627,817RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,524,882UnrelatedBusinessRevenueAmt
Exclusion$14,915,580ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,157,942TotalAmt
Program Services$3,157,942ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$12,776,376TotalAmt
Program Services$12,776,376ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,614,619TotalAmt
Management And General$4,614,619ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$246,490,512TotalAmt
Program Services$210,728,918ProgramServicesAmt
Management And General$35,761,594ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,071,123TotalAmt
Program Services$7,955,741ProgramServicesAmt
Management And General$1,115,382ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$38,535,892TotalAmt
Program Services$33,743,563ProgramServicesAmt
Management And General$4,792,329ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,179,253TotalAmt
Program Services$13,823,892ProgramServicesAmt
Management And General$2,355,361ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$346,801TotalAmt
Program Services$338,040ProgramServicesAmt
Management And General$8,761ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$571,936TotalAmt
Management And General$571,936ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$106,423TotalAmt
Management And General$106,423ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$46,209,662TotalAmt
Program Services$29,975,957ProgramServicesAmt
Management And General$16,233,705ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,589,928TotalAmt
Program Services$7,443ProgramServicesAmt
Management And General$2,582,485ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$77,831,882TotalAmt
Program Services$76,563,632ProgramServicesAmt
Management And General$1,268,250ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,373,274TotalAmt
Program Services$20,871,757ProgramServicesAmt
Management And General$501,517ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,188,974TotalAmt
Program Services$3,039,715ProgramServicesAmt
Management And General$6,149,259ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$749,615TotalAmt
Program Services$572,611ProgramServicesAmt
Management And General$177,004ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,708,647TotalAmt
Program Services$9,708,647ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$46,289,169TotalAmt
Program Services$47,975,181ProgramServicesAmt
Management And General-$1,686,012ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$41,727,879TotalAmt
Program Services$18,452,390ProgramServicesAmt
Management And General$23,275,489ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,211,960TotalAmt
Management And General$2,211,960ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BUILDING & GROUND MAINT$4,780,860$272,484$4,508,376
EQUIPMENT MAINTENANCE$3,537,947$1,030,796$2,507,151
BANK & SERVICE FEES$1,379,923$90,363$1,289,560
PROF DUES & SUBSCRIPTIO$986,682$429,243$557,439

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,266,189TotalAmt
Program Services$670,778ProgramServicesAmt
Management And General$1,594,883ManagementAndGeneralAmt
Fundraising$528FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$602,683,468TotalAmt
Program Services$492,185,469ProgramServicesAmt
Management And General$110,497,471ManagementAndGeneralAmt
Fundraising$528FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,093,146BOYAmt
EOY$8,585,258EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$49,356,032BOYAmt
EOY$88,516,264EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$106,223,455BOYAmt
EOY$124,263,474EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,204,286BOYAmt
EOY$10,168,746EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,817,449BOYAmt
EOY$13,428,735EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$940,368,226LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$295,689,572LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$639,593,502BOYAmt
EOY$644,678,654EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$397,630,295BOYAmt
EOY$434,533,613EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$51,570,236BOYAmt
EOY$71,295,803EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,273,488,401BOYAmt
EOY$1,395,470,547EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$83,088,072BOYAmt
EOY$82,175,007EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$40,694BOYAmt
EOY$21,747EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$246,580,710BOYAmt
EOY$241,302,478EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,156,965BOYAmt
EOY$38,759,824EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$360,866,441BOYAmt
EOY$362,259,056EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$912,621,960BOYAmt
EOY$1,025,210,325EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$8,001,166EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$912,621,960BOYAmt
EOY$1,033,211,491EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,273,488,401BOYAmt
EOY$1,395,470,547EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$44,159,318ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$40,256,395NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$36,173,818OtherChangesInNetAssetsAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$106,423FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$106,423FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$602,577,045FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$602,683,468FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$85,016CurrentYearMinus3Amt
Current Year Minus2$88,360CurrentYearMinus2Amt
Current Year Minus1$71,561CurrentYearMinus1Amt
Current Year$106,423CurrentYearAmt
Total$351,360TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$62,985,521BeginningYearBalanceAmt
Contributions$17,954,245ContributionsAmt
Investment Earnings Or Losses$1,180,899InvestmentEarningsOrLossesAmt
Grants Or Scholarships$153,425GrantsOrScholarshipsAmt
Other Expenditures$6,998,811OtherExpendituresAmt
End Year Balance$74,968,429EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$67,055,688BeginningYearBalanceAmt
Contributions$13,279,795ContributionsAmt
Investment Earnings Or Losses$488,673InvestmentEarningsOrLossesAmt
Grants Or Scholarships$55,090GrantsOrScholarshipsAmt
Other Expenditures$17,783,545OtherExpendituresAmt
End Year Balance$62,985,521EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$99,960,929BeginningYearBalanceAmt
Contributions$12,775,597ContributionsAmt
Investment Earnings Or Losses$1,571,110InvestmentEarningsOrLossesAmt
Grants Or Scholarships$150,207GrantsOrScholarshipsAmt
Other Expenditures$47,101,741OtherExpendituresAmt
End Year Balance$67,055,688EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$92,781,994BeginningYearBalanceAmt
Contributions$8,659,064ContributionsAmt
Investment Earnings Or Losses$650,201InvestmentEarningsOrLossesAmt
Grants Or Scholarships$133,073GrantsOrScholarshipsAmt
Other Expenditures$1,997,257OtherExpendituresAmt
End Year Balance$99,960,929EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,066,716BeginningYearBalanceAmt
Contributions$5,785,740ContributionsAmt
Investment Earnings Or Losses$768,122InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,838,583GrantsOrScholarshipsAmt
End Year Balance$92,781,995EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.38700BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.13000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.48300TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,668,851OtherCostOrOtherBasisAmt
Book Value$31,668,851BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$676,549,963OtherCostOrOtherBasisAmt
Depreciation$181,024,004DepreciationAmt
Book Value$495,525,959BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,682,191OtherCostOrOtherBasisAmt
Depreciation$7,093,687DepreciationAmt
Book Value$4,588,504BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$180,491,877OtherCostOrOtherBasisAmt
Depreciation$107,185,217DepreciationAmt
Book Value$73,306,660BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,975,344OtherCostOrOtherBasisAmt
Depreciation$386,664DepreciationAmt
Book Value$39,588,680BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$644,678,654TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED PARTNERSHIP INVESTMENT$403,315,984F
PEDIATRIC ENRICHMENT FUND$9,052,439F
OTHER - BOARD DESIGNATED FUND$21,600,000F
DEBT SERVICE RESERVE FUNDS$565,190F
FieldValueIRS element (for citing)
Total Book Value Securities$434,533,613TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLE$30,474,075
ROU ASSET - OPERATING, NET$19,089,104
ROU ASSET - FINANCING, NET$4,189,900
INVESTMENT IN DEFERRED COMP$7,160,584
EST THIRD-PARTY SETTLEMENTS$10,382,140
FieldValueIRS element (for citing)
Total Book Value Other Assets$71,295,803TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
LEASE OBLIGATION - OPERATING$16,440,402
LEASE OBLIGATION - FINANCING$4,340,434
DEFERRED COMPENSATION LIABILITY$7,160,584
INTERCOMPANY PAYABLE$6,260,894
SWAP LIABILITY$968,112
CURRENT PORTION OF LEASE PAYMENTS - OPERATING$2,787,136
CURRENT PORTION OF LEASE PAYMENTS - FINANCING$802,262
FieldValueIRS element (for citing)
Total Liability$38,759,824TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THESE FUNDS ARE ADMINISTERED BY THE FOUNDATION ON BEHALF OF AND FOR THE BENEFIT OF THE HOSPITAL. THE FUNDS ARE USED TO SUPPORT PROGRAMS, FUTURE CAPITAL IMPROVEMENTS, AND OPERATIONS OF THE HOSPITAL.
PART X, LINE 2:FIN 48 FOOTNOTE THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. DURING 2023 OR 2022, THE COMPANY DID NOT RECORD ANY AMOUNTS RELATED TO UNCERTAIN TAX POSITIONS OR ANY ACCRUED INTEREST AND PENALTIES.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEANINVESTMENTS$39,943,688
EUROPE (INCLUDING ICELAND AND GREENLAND)INVESTMENTS$15,227,240
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$55,170,928SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$55,170,928TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

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
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
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$5,434,396TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,434,396NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$234,854,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$150,832,536DirectOffsettingRevenueAmt
Net Community Benefit Expns$84,021,843NetCommunityBenefitExpnsAmt
Total Expense0.13940TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$240,288,775TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$150,832,536DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,456,239NetCommunityBenefitExpnsAmt
Total Expense0.14840TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,863,959TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,218,991DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,644,968NetCommunityBenefitExpnsAmt
Total Expense0.00940TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,793,919TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,295,322DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,498,597NetCommunityBenefitExpnsAmt
Total Expense0.04560TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,647,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,059,538DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,588,224NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,500,058TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,583DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,443,475NetCommunityBenefitExpnsAmt
Total Expense0.01570TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$167,779,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$98,546,536DirectOffsettingRevenueAmt
Net Community Benefit Expns$69,233,015NetCommunityBenefitExpnsAmt
Total Expense0.11490TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$225,585,249TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$109,176,970DirectOffsettingRevenueAmt
Net Community Benefit Expns$116,408,279NetCommunityBenefitExpnsAmt
Total Expense0.19320TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$465,874,024TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$260,009,506DirectOffsettingRevenueAmt
Net Community Benefit Expns$205,864,518NetCommunityBenefitExpnsAmt
Total Expense0.34160TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,798,627BadDebtExpenseAmt
Reimbursed By Medicare$173,466ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$857,508CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$684,042MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CHILDRENSNEBRASKA.ORGWebsiteAddressTxt
State License260005StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
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
Other Health IssuesYes (X)OtherHealthIssuesInd
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 FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
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 URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
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 TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 5: AS PART OF THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONDUCTED ON BEHALF OF THE HOSPITAL, BOYS TOWN NATIONAL RESEARCH HOSPITAL AND BUILDING HEALTHY FUTURES, KEY INFORMANTS (INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY) WERE CONTACTED BY EMAIL, INTRODUCED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT KEY INFORMANT SURVEY AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE. THE SURVEY COLLECTED RESPONSES IN APRIL AND MAY OF 2021, AND REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. SUPPORTING ORGANIZATIONS FOR THE CHNA INCLUDED: CHARLES DREW HEALTH CENTER, INC., DOUGLAS COUNTY HEALTH DEPARTMENT, THE LOZIER FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS, INC., AND THE WELLBEING PARTNERS.THESE POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS AMONG THE FAMILIES AND CHILDREN/ADOLESCENTS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. IN ALL, 143 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, REPRESENTING COMMUNITY/BUSINESS LEADERS, PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, SOCIAL SERVICE PROVIDERS AND OTHER HEALTH CARE PROVIDERS. THESE KEY INFORMANTS REPRESENT ORGANIZATIONS THAT WORK WITH LOW-INCOME POPULATIONS, POPULATIONS OF COLOR, MEDICALLY UNDERSERVED POPULATIONS, AND INDIVIDUALS WITH SPECIAL HEALTH CONDITIONS.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 6A: BOYS TOWN NATIONAL RESEARCH HOSPITAL
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 6B: BUILDING HEALTHY FUTURES, CHARLES DREW HEALTH CENTER, INC., DOUGLAS COUNTY HEALTH DEPARTMENT, THE LOZIER FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS, INC., AND THE WELLBEING PARTNERS.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 11: ON NOVEMBER 17, 2021, THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL & MEDICAL CENTER (CHILDREN'S), WHICH INCLUDES REPRESENTATIVES FROM THROUGHOUT THE COMMUNITY, MET TO DISCUSS THIS PLAN AND THE INTERNAL AND EXTERNAL PRIORITIZATION INPUT FOR ADDRESSING THE COMMUNITY HEALTH PRIORITIES IDENTIFIED THROUGH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). UPON REVIEW, THE BOARD OF DIRECTORS APPROVED AND ADOPTED THIS CHNA AND INSTRUCTED CHILDREN'S COMMUNITY HEALTH & ADVOCACY TEAM TO DEVELOP A NEW IMPLEMENTATION STRATEGY PLAN FOR 2022-2024 TO UNDERTAKE MEASURES TO MEET THE HEALTH NEEDS OF THE COMMUNITY.IMPLEMENTATION STRATEGY PLAN APPROVALON APRIL 26, 2022, THE QUALITY & PATIENT SAFETY COMMITTEE OF THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL & MEDICAL CENTER, WHICH INCLUDES REPRESENTATIVES FROM THROUGHOUT THE COMMUNITY, MET TO DISCUSS THIS PLAN FOR ADDRESSING THE COMMUNITY HEALTH PRIORITIES IDENTIFIED THROUGH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. THE QUALITY AND PATIENT SAFETY COMMITTEE OF THE BOARD HAS BEEN DELEGATED THE AUTHORITY TO APPROVE THIS PLAN. UPON REVIEW, THE QUALITY & PATIENT SAFETY COMMITTEE OF THE BOARD OF DIRECTORS APPROVED AND ADOPTED THIS IMPLEMENTATION STRATEGY PLAN TO UNDERTAKE THESE MEASURES TO MEET THE HEALTH NEEDS OF THE COMMUNITY.AS A RESULT OF THE INTERNAL AND EXTERNAL PLANNING CONVERSATIONS UTILIZING THE CHNA DATA, ALIGNMENT WITH CHILDREN'S 2025 STRATEGIC PLAN, AND THE DESIRE TO ADDRESS STRATEGIES FOR WHICH HEALTH EQUITY IS NEEDED, THE FOLLOWING IMPACT AREAS WERE IDENTIFIED AS PRIORITIES FOR THE 2022-2024 IMPLEMENTATION STRATEGY PLAN (ISP):- PEDIATRIC MENTAL WELLNESS- HEALTHY HOUSING- FINANCIAL STABILITY- FOOD SECURITYIN ADDITION TO THE IMPACT AREAS, A FOCUS ON UNDERREPRESENTED POPULATIONS AS DEFINED BY NATIONAL INSTITUTES OF HEALTH (NIH), USING EARLY CHILDHOOD SETTINGS AND SCHOOLS AS ACCESS POINTS FOR INTERVENTIONS AND SERVICE DELIVERY, AND UTILIZATION OF CHILDREN'S ACCESS TO CARE FRAMEWORK ADOPTED DURING THE 2019-2021 ISP ARE KEY COMPONENTS OF A SUCCESSFUL 2022-2024 IMPLEMENTATION STRATEGY PLAN.THREE OF THE FOUR IMPACT AREAS IDENTIFIED BY THE CHNA, AND THE PRIORITIZATION PROCESS ARE NEW AREAS OF FOCUS FOR CHILDREN'S. TO ENSURE BEST FIT INTERVENTIONS AND ACTIVITIES ARE SELECTED AND IMPLEMENTED, THE FIRST 12-18 MONTHS OF THE 2022-2024 ACTION ISP CONCENTRATE ON: - DISCOVERY & RESEARCH: COLLECTING DATA REGARDING POPULATIONS IMPACTED, CONDUCTING AN INVENTORY OF CURRENT POLICIES, PRACTICES AND WORKFLOWS THAT SUPPORT RELATED WORK INTERNALLY AND, IN THE COMMUNITY, AND UNDERSTANDING THE LOCAL AND NATIONAL LANDSCAPE TO IDENTIFY BEST AND EMERGING PRACTICES. - ADVOCACY: ASSESSING CURRENT AND PROPOSED POLICIES AND LEGISLATION EFFECTING EACH IMPACT AREA AND IDENTIFYING KEY PARTNERS AND CHAMPIONS FOR THE WORK. - EDUCATION & TRAINING: EVALUATING STAFF AWARENESS, KNOWLEDGE AND SENSITIVITY TO EACH IMPACT AREA, AND IDENTIFYING EDUCATION AND TRAINING OPPORTUNITIES AND MODES FOR DELIVERY.IN LATE 2021, CROSS-DEPARTMENTAL ISP ACTION TEAMS WERE FORMED AROUND EACH OF THE FOUR IMPACT AREAS. THE TEAMS ARE CURRENTLY MADE UP OF CHILDREN'S STAFF MEMBERS WITH EXPERIENCE AND EXPERTISE IN THEIR ASSIGNED AREA. THE TEAMS EXPLORING THE LANDSCAPE TO BROADEN EACH ACTION PLAN TO INCLUDE STRATEGIES AIMED AT: - INTERVENTIONS THAT BEST FIT THE NEEDS OF THE COMMUNITIES AND POPULATIONS IMPACTED, REFLECT BEST PRACTICE AND BUILD UPON THE ASSETS THE ORGANIZATION CAN BRING TO THE WORK. - COMMUNITY PARTNERS REPRESENTING THE INTERESTS OF THOSE AFFECTED AND POSITIONED TO MAKE REAL IMPACT. - BEST METHODS TO COORDINATE WORK INTERNALLY AND WITHIN THE COMMUNITY. - APPLYING A HEALTH EQUITY LENS TO EACH IMPACT AREA, AND THE ACTION TEAMS' SUBSEQUENT RECOMMENDATIONS.IN 2023, THE COMMUNITY HEALTH & ADVOCACY TEAM ENGAGED IN BIDIRECTIONAL PLANNING WITH BOTH INTERNAL AND EXTERNAL KEY STAKEHOLDERS. INTERNAL GROUPS INCLUDED THE ONGOING ISP ACTION TEAMS MADE UP OF THE HOSPITAL'S TEAM MEMBERS WITH INTEREST AND EXPERTISE IN ONE OR MORE OF THE FOCUS AREAS AND THE HOSPITAL'S LEADERS. THE TEAM CONVENED A GROUP OF STAKEHOLDERS TO FURTHER SUPPORT PLANNING FOR THE HEALTHY HOUSING INITIATIVE WITH THE MID-AMERICA PEDIATRIC ENVIRONMENTAL HEALTH SPECIALTY UNIT (MAPEHSHU) AND IDENTIFIED AN INTERNAL HEALTHY HOUSING PHYSICIAN CHAMPION. EXTERNAL GROUPS INCLUDED PEER HOSPITALS AND COMMUNITY-SERVING ORGANIZATIONS. IN LATE 2023, THE TEAM DEVELOPED SEVEN LEAN BUSINESS PLANS, NARROWING DOWN A LIST OF PROJECTS FROM 34 POTENTIAL "PROMISING OPTIONS" TO IMPROVE IMPACT IN ONE OF THE KEY AREAS OF FINANCIAL STABILITY, FOOD SECURITY AND HEALTHY HOUSING AND PRESENTED THE PLANS FOR FEEDBACK AND SUPPORT FROM THE HOSPITAL'S LEADERS WITH PLANS FOR 2024 IMPLEMENTATION OF THOSE THAT WERE RECOMMENDED BY THE GROUP. WITH THE GOAL OF RAISING AWARENESS AND BUILDING BROADER UNDERSTANDING OF SDOH NEEDS IN OUR PATIENT POPULATION AND COMMUNITY, THE HOSPITAL'S TEAM ORGANIZED "COMMUNITY LEARNING TOURS" TO VARIOUS NON-PROFIT ORGANIZATIONS WITH MISSION ALIGNMENT TO ONE OF THE FOUR FOCUS AREAS. THESE TOURS WERE MADE BROADLY AVAILABLE TO THE HOSPITAL'S TEAM MEMBERS ACROSS THE ORGANIZATION. THE HOSPITAL'S EMPLOYEE VOLUNTEER TIME OFF (VTO) PROGRAM ARRANGES MONTHLY VOLUNTEER OPPORTUNITIES WHERE EMPLOYEES CAN ENGAGE AND SUPPORT IDENTIFIED COMMUNITY HEALTH NEEDS, ESPECIALLY IN THE FOUR FOCUS AREAS. THE HOSPITAL'S TEAM MEMBERS CONTRIBUTED 2,353 VOLUNTEER HOURS IN 2023 THROUGH THE PROGRAM. ADDITIONALLY, THE HOSPITAL HOSTED A RESOURCE FAIR WHERE NON-PROFIT ORGANIZATIONS WERE INVITED TO SHARE INFORMATION ON AVAILABLE RESOURCES AND VOLUNTEER OPPORTUNITIES WITH THE HOSPITAL'S TEAM MEMBERS. THE HOSPITAL'S COMMUNITY HEALTH & ADVOCACY TEAM AWARDED 10 GRANTS OF $25,000 EACH TO NEBRASKA NON-PROFIT ORGANIZATIONS WITH PROGRAMS IN ALIGNMENT WITH ONE OF THE FOUR FOCUS AREAS. THE FUNDS ARE DISTRIBUTED OVER TWO YEARS. AWARDEES PARTICIPATE IN A SERIES OF LEARNING SESSIONS TO SHARE RESOURCES AND ENHANCE THEIR ABILITY TO COLLECT AND SHARE IMPACT DATA. SPECIFIC TO PEDIATRIC MENTAL WELLNESS, THE HOSPITAL CONTINUED WORK ON THE ZERO SUICIDE PROJECT WHICH INCLUDED IMPLEMENTING STANDARDIZED LANGUAGE IN JOB DESCRIPTIONS AND JOB TITLES TO BETTER IDENTIFY AND SUPPORT YOUTH EXPERIENCING SUICIDAL IDEATION, ENHANCED SCREENING TOOLS TO ALIGN WITH EVIDENCE-BASED PRACTICES, AND MADE ALL TOOLS AVAILABLE IN PATIENT CARE AREAS. SOCIAL WORKER FTES WERE READJUSTED AND ADDITIONAL TRAINING PROVIDED TO MEET GROWING NEED. THE HOSPITAL'S SCHOOL HEALTH TEAM ALSO CONTINUED TO SUPPORT THE NEBRASKA DEPARTMENT OF EDUCATION IN COORDINATING PROFESSIONAL DEVELOPMENT OPPORTUNITIES AND RESOURCE DISTRIBUTION FOR SCHOOL SOCIAL WORKERS, COUNSELORS AND COMMUNITY MEMBERS INVOLVED IN PEDIATRIC SCHOOL MENTAL HEALTH EFFORTS.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 13B: CHILDREN'S RECOGNIZES THAT SOME PATIENTS WILL BE UNRESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS DUE TO A VARIETY OF REASONS INCLUDING BUT NOT LIMITED TO:1. LACK OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION REQUIREMENTS.2. LACK OF THE EDUCATIONAL LEVEL TO UNDERSTAND AND COMPLETE THE FINANCIAL ASSISTANCE APPLICATION.3. FEAR THAT INFORMATION GATHERED DURING THE APPLICATION PROCESS WILL BE USED IN THE COLLECTION PROCESS IN THE EVENT THAT THE APPLICATION IS DENIED.4. OUT OF STATE PATIENTS THAT DO NOT RESPOND TO COMPLETION OF A MEDICAIDAPPLICATION OR FINANCIAL ASSISTANCE APPLICATION.IN THE ABSENCE OF INFORMATION PROVIDED BY THE PATIENT OR IN CASES WHERE THE INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, AN ASSESSMENT PROCESS UTILIZING A PREDICTIVE MODEL IS DEPLOYED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. THE PREDICTIVE MODEL INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR (WIC, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, HUD PROGRAMS), CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP.THE APPLICATION OF THE PREDICTIVE SCORING PROCESS AND PRESUMPTIVE FINANCIAL ASSISTANCE WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT FOR ALL PATIENTS THAT HAVE NOT APPLIED FOR CHARITY CARE. CHILDREN'S IS NOT OBLIGATED TO NOTIFY THE PATIENT THAT THEY HAVE RECEIVED PRESUMPTIVE FINANCIAL ASSISTANCE.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 16J: THE POLICY IS PROVIDED TO THE PUBLIC IN SUMMARY AND THEY ARE DIRECTED TO VISIT THE CHILDREN'S HOSPITAL & MEDICAL CENTER WEBSITE FOR THE FULL POLICY.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 24: AT CHILDREN'S, COMMERCIAL INSURERS, GOVERNMENT PAYORS AND SELF-PAY BILLING PARTIES ARE ALL BILLED THE SAME GROSS CHARGE RATE FOR EACH SPECIFIC PROCEDURE PERFORMED. GROSS CHARGES ON AN FAP-PATIENT BILL ARE THEN DISCOUNTED ACCORDING TO THEIR FPG ELIGIBILITY WHICH REDUCES OR ELIMINATES THE AMOUNT THE PATIENT IS REQUIRED TO PAY.
PART V, SECTION B, LINE 7AHTTPS://WWW.CHILDRENSNEBRASKA.ORG/GET-INVOLVED/ADVOCACY-OUTREACH/COMMUNITY-BENEFIT/
PART V, SECTION B, LINE 10AHTTPS://WWW.CHILDRENSNEBRASKA.ORG/GET-INVOLVED/ADVOCACY-OUTREACH/COMMUNITY-BENEFIT/
PART V, SECTION B, LINE 16AHTTPS://WWW.CHILDRENSNEBRASKA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16BHTTPS://WWW.CHILDRENSNEBRASKA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16CHTTPS://WWW.CHILDRENSNEBRASKA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CHILDREN'S NE REHAB SVCS - LINCOLN
5930 VANDERVOORT DR STE ALINCOLNNE68516SPECIALTY CLINICS
2 - CHILDREN'S NE SPECIALTY PEDIATRIC CTR
111 N 84TH STOMAHANE68114SPECIALTY CLINICS
3 - CNSPC - CASS WEST
8552 CASS STOMAHANE68114SPECIALTY CLINICS
4 - CNSPC - CASS EAST
8534 CASS STOMAHANE68114SPECIALTY CLINICS
5 - CNSPC - SIOUX CITY
5500 SERGEANT ROAD SUITE 100SIOUX CITYIA51106SPECIALTY CLINICS
6 - CNSPC- LINCOLN
2121 S 56TH STLINCOLNNE68506SPECIALTY CLINICS

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. FINANCIAL ASSISTANCE IS AVAILABLE FOR MEDICALLY NECESSARY PROCEDURES AND SERVICES. SERVICES NOT ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE COSMETIC AND OTHER ELECTIVE SERVICES. CERTIFICATION OR PROOF OF MEDICAID DENIAL IS A REQUIREMENT FOR FINANCIAL ASSISTANCE CONSIDERATION. FINANCIALLY RESPONSIBLE PARTIES WHO SUBMIT A COMPLETE AND VERIFIABLE APPLICATION FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR FREE OR REDUCED ASSISTANCE BASED ON FEDERAL POVERTY GUIDELINES (400% FPL LIMIT). FAMILIES THAT DO NOT QUALIFY FOR INCOME-BASED FINANCIAL ASSISTANCE THAT HAVE VERIFIABLE OUT OF POCKET MEDICAL DEBT GREATER THAN 20% OF GROSS INCOME MAY QUALIFY FOR CATASTROPHIC ASSISTANCE. PRESUMPTIVE ELIGIBILITY IS AVAILABLE IN A VARIETY OF CIRCUMSTANCES INCLUDING THE ABSENCE OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION REQUIREMENTS. THE PREDICTIVE MODEL INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR, CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP.
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE ORGANIZATION. THE VALUES REPORTED IN THE 2023 COMMUNITY BENEFIT REPORT INCLUDE $5.4 MILLION IN FINANCIAL ASSISTANCE.
PART I, LINE 7:EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE SUBSIDIZED HEALTH SERVICES: SUBSIDIZED HEALTH SERVICES WERE CALCULATED USING A COMBINATION OF THE HOSPITAL'S COST ACCOUNTING SYSTEM AND A COST TO CHARGE RATIO CALCULATION SIMILAR TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE REPORTED SUBSIDIZED LOSS REPRESENTS THE DIFFERENCE IN NET REVENUE RECEIVED FROM ALL PAYORS LESS TOTAL OPERATING EXPENSES INCLUDING INDIRECT COSTS APPLICABLE TO EACH DEPARTMENT. UNREIMBURSED MEDICAID COSTS REPORTED ON LINE 7B AND OTHER OPERATING EXPENSE APPLICABLE TO THE DEPARTMENT REPORTED ELSEWHERE ON SCHEDULE H AS A COMMUNITY BENEFIT IS EXCLUDED FROM THE OPERATING EXPENSE TOTAL AS ARE BAD DEBT AND NON-PATIENT CARE EXPENSE ASSOCIATED WITH EACH DEPARTMENT. INDIRECT COSTS FOR EACH DEPARTMENT WERE CALCULATED BY APPLYING THE MEDICARE COST REPORT OVERHEAD RATE APPLICABLE TO THAT DEPARTMENT TO THE DEPARTMENT'S TOTAL OPERATING EXPENSES EXCLUDING UNREIMBURSED MEDICAID EXPENSES AND/OR ANY OTHER EXPENSE ALREADY REPORTED ELSEWHERE ON SCHEDULE H AS A COMMUNITY BENEFIT.PART I, LINE 7I:THE ORGANIZATION DID NOT INCLUDE COSTS ATTRIBUTABLE TO PRIMARY CARE PHYSICIAN CLINICS AS CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT.PART II, LINE 2:THE HOSPITAL SUPPORTED ECONOMIC DEVELOPMENT IN ITS SPONSORSHIP DONATIONS TO ORGANIZATIONS SUCH AS THE GREATER OMAHA CHAMBER OF COMMERCE, AND PARTICIPATED IN COALITION BUILDING ACTIVITIES THROUGH THE NE HOSPITAL ASSOCIATION.
PART III, LINE 2:DESCRIBE THE METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2& 3:BAD DEBT EXPENSE AT 100% CHARGE VALUE WAS MULTIPLIED BY THE 2023 MEDICARECOST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST VALUE.BAD DEBT EXPENSE AT 100% CHARGE VALUE $6,579,630MEDICARE COST TO CHARGE RATIO X .4253BAD DEBT EXPENSE AT COST $2,798,627
PART III, LINE 3:ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY: THIS PROCESS INCLUDES IDENTIFYING FINANCIAL ASSISTANCE CODES CONGRUENT WITH THE FINANCIAL ASSISTANCE POLICY THAT WERE CHARGED TO BAD DEBT EXPENSE AT 100% CHARGE VALUE. THIS AMOUNT IS $0 FOR 2023 AND REFLECTS THE EFFORTS OF THE HOSPITAL TO ENSURE THAT NO CHILD WITH A MEDICAL NEED IS TURNED AWAY DUE TO INABILITY TO PAY FOR HEALTH CARE.DESCRIBE HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS OR PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: BAD DEBT EXPENSE IS CREDITED FOR ANY PAYMENT RECEIVED ON ACCOUNTS PREVIOUSLY WRITTEN OFF.
PART III, LINE 4:FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE COMPANY DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES ON THE BASIS OF CHARGES REDUCED BY IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS INCLUDED IN THE ESTIMATE OF THE TRANSACTION PRICE ARE BASED ON HISTORICAL COLLECTION EXPERIENCE FOR APPLICABLE PATIENT PORTFOLIOS. PATIENTS WHO MEET THE COMPANY'S CRITERIA FOR FREE "CHARITY" CARE ARE PROVIDED WITHOUT CHARGE; SUCH AMOUNTS ARE NOT REPORTED AS REVENUE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SETTLEMENTS WITH THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS DUE TO AUDITS, REVIEWS, OR INVESTIGATIONS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE USING THE MOST LIKELY OUTCOME METHOD. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENTS WITH THE PAYOR, CORRESPONDENCE FROM THE PAYOR, AND HISTORICAL SETTLEMENT ACTIVITY, INCLUDING AN ASSESSMENT TO ENSURE THAT IT IS PROBABLE THAT A SIGNIFICANT REVERSAL IN THE AMOUNT OF CUMULATIVE REVENUE RECOGNIZED WILL NOT OCCUR WHEN THE UNCERTAINTY ASSOCIATED WITH THE RETROACTIVE ADJUSTMENT IS SUBSEQUENTLY RESOLVED. ESTIMATED SETTLEMENTS ARE ADJUSTED IN FUTURE PERIODS AS NEW INFORMATION BECOMES AVAILABLE OR AS YEARS ARE SETTLED OR ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS.
PART III, LINE 8:MEDICARE2023 MEDICARE CHARGES REPORTED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) IN THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM FOR PROVIDER FYE 12/31 WERE MULTIPLIED BY THE 2023 COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST OF CARE RELATED TO THE REIMBURSEMENT PAYMENTS REPORTED ON SCHEDULE H, PART III, LINE 5.
PART III, LINE 9B:COLLECTION PRACTICESSELF-PAY ACCOUNTS WITH NO VERIFIABLE INSURANCE AND BALANCE AFTER INSURANCE ACCOUNTS ARE CONSIDERED FOR FINANCIAL ASSISTANCE THROUGHOUT THE COLLECTION PROCESS FOR THOSE GUARANTORS WHO ARE FINANCIALLY UNABLE TO PAY, EITHER THROUGH A GOVERNMENT PROGRAM OR THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ALL CORRESPONDENCE, INCLUDING STATEMENTS AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE.
PART VI, LINE 2:CHILDREN'S USES NUMEROUS RESOURCES TO BENCHMARK, ALIGN AND CONDUCT ASSESSMENTS OF THE HEALTH CARE NEEDS OF CHILDREN IN THE COMMUNITIES WE SERVE. THESE RESOURCES INCLUDE FOCUSED STAKEHOLDER INPUT AND PRIORITIZATION, NATIONAL PUBLIC HEALTH (HEALTHY PEOPLE 2030) AND PEDIATRIC CARE STANDARDS. WE ALSO REVIEW DATA FROM THE AMERICAN ACADEMY OF PEDIATRICS, OUR 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT, AND TRENDS AS IDENTIFIED BY CHILDREN'S HOSPITAL ASSOCIATION (CHA).TO SUPPORT THE ORGANIZATION'S HEALTH EQUITY EFFORTS, CHILDREN'S BEGAN DEVELOPING A SOCIAL DETERMINANTS OF HEALTH (SDOH) AND EQUITY DASHBOARD. ONCE COMPLETED, THE DASHBOARD WILL ALLOW OVERSIGHT OF REAL-TIME DATA REGARDING KEY PEDIATRIC HEALTH INDICATORS AND MONITORING FOR DISPARITIES ACROSS MULTIPLE FACTORS. DEPLOYMENT OF THE DASHBOARD IS ANTICIPATED FOR MID 2024. CHILDREN'S LAUNCHED ITS HEALTH EQUITY STEERING COMMITTEE IN FALL 2023, AND IS A MULTIDISCIPLINARY TEAM OF APPROXIMATELY 20 LEADERS COMMITTED TO ADDRESSING HEALTH EQUITY ISSUES IMPACTING OUR WORKFORCE, PATIENTS AND THEIR FAMILIES, AND OUR COMMUNITY.
PART VI, LINE 3:3-PATIENT EDUCATION OF ELIGIBILITYFINANCIALLY RESPONSIBLE PARTIES WHO EXPERIENCE DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATIONS WILL BE ENCOURAGED TO AND ASSISTED IN APPLYING FOR FINANCIAL HELP THROUGH GOVERNMENT PROGRAMS AND OTHER POTENTIAL FUNDING SOURCES OR ALTERNATIVELY QUALIFIED FOR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS IDEALLY DETERMINED EITHER PRIOR TO SERVICES BEING PROVIDED OR AT THE TIME SERVICES ARE RENDERED AND IS BASED UPON FAMILY/GUARANTOR INCOME, FAMILY SIZE AND OTHER SPECIAL CONSIDERATIONS. THE PRIMARY RESPONSIBILITY TO IDENTIFY FINANCIAL NEED IS WITH THE ACCESS CENTER PATIENT ADVOCATES, CENTRAL BILLING OFFICE AND SOCIAL WORK STAFF. THESE STAFF MEMBERS ARE TRAINED TO IDENTIFY PATIENT NEEDS AND ANSWER FINANCIAL ASSISTANCE QUESTIONS. THERE ARE SEVERAL POINTS IN THE PATIENT EXPERIENCE WHERE FINANCIAL ASSISTANCE RESOURCES ARE OFFERED. THE FIRST OCCURS AT THE PRE-REGISTRATION OF INPATIENT ADMITS ANDOUTPATIENTS PRESENTING THROUGH CARES AND FOR THOSE PATIENTS SCHEDULED INTHE SPECIALTY PEDIATRIC CENTER CLINICS.ELIGIBILITY OF THE INSURED IS VALIDATED ELECTRONICALLY. THE BENEFIT DETAIL INCLUDING DEDUCTIBLE, COPAYMENT AND COINSURANCE AMOUNTS ARE DISCUSSED WITH THE FAMILY. ALL INDIVIDUALS WHO ARE FINANCIALLY UNABLE TO PAY ARE ENCOURAGED TO AND ASSISTED IN APPLYING FOR FINANCIAL HELP THROUGHGOVERNMENT PROGRAMS AND OTHER POTENTIAL FUNDING SOURCES OR ALTERNATIVELY QUALIFIED FOR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. AT THE TIME OF REGISTRATION, INSURANCE IS DISCUSSED, AND FAMILIES AGAIN ARE OFFERED THE ASSISTANCE OF ACCESS CENTER PATIENT ADVOCATES WHO ARE AVAILABLE MONDAY THROUGH FRIDAY. ALL SELF-PAY FAMILIES ARE ENCOURAGED TO SPEAK TO AN ACCESS CENTER PATIENT ADVOCATE. CARE ESTIMATES OR QUESTIONS REGARDING ESTIMATE OF COST FOR UPCOMING TESTING ARE DIRECTED TO THE PATIENT ADVOCATES AND THESE SERVICES ARE AGAIN OFFERED PRIOR TO ENDING THE CONVERSATION. FINANCIAL ASSISTANCE INFORMATION IS ALSO LOCATED IN THE PATIENT HANDBOOKS. PATIENTSTATEMENTS AND ALL CORRESPONDENCE INCLUDING BILLS, STATEMENTS, AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE. CHILDREN'S HOSPITAL & MEDICAL CENTER'S INTERNET WEBSITE ALSO OFFERS A FINANCIAL ASSISTANCE LINK THAT INFORMS READERS IF THEY ARE UNINSURED OR HAVE LIMITED INCOME, THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS OR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. THE WEBSITE EXPLAINS THAT DEPENDING ON INCOME LEVEL, ALL OR PART OF THE MEDICAL COSTS MAY BE FUNDED BY MEDICAID, AND, ALTERNATIVELY, IF THEY ARE DETERMINED NOT ELIGIBLE FOR MEDICAID AFTER PROVIDING ALL OF THE REQUIRED DOCUMENTATION, THEY MAY THEN APPLY FOR THE CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. CONTACT NUMBERS FOR THE PATIENT ADVOCATES AND HOURS OF SERVICE ARE PROVIDED. THE WEBSITE INCLUDES COPIES OF CHILDREN'S FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH, ARABIC, CHINESE, FRENCH, PERSIAN, SPANISH, AND VIETNAMESE. THE WEBSITE ALSO INCLUDES AMOUNTS GENERALLY BILLED IN ENGLISH. ALL OTHER BILLING, PAYMENT, AND FINANCIAL RESPONSIBILITY RELATED LINKS ON CHILDREN'S WEBSITE STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE.THE FINANCIAL ASSISTANCE POLICY IS CURRENTLY AVAILABLE ON THE CHILDREN'S HOSPITAL & MEDICAL CENTER WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. HTTPS://WWW.CHILDRENSOMAHA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE/
PART VI, LINE 4:4-COMMUNITY INFORMATIONTHE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF DOUGLAS AND SARPY COUNTIES IN NEBRASKA AND POTTAWATTAMIE COUNTY IN IOWA. THE PRIMARY SERVICE AREA HAS A CURRENT AGGREGATE POPULATION OF 894,952. THE HOSPITAL'S SECONDARY SERVICE AREA CONSISTS OF EIGHT SURROUNDING COUNTIES IN NEBRASKA AND NINE SURROUNDING COUNTIES IN IOWA.FOR THE YEAR ENDED DECEMBER 31, 2023, 49.5% OF THE HOSPITAL'S INPATIENT DISCHARGES WERE FROM PATIENTS RESIDING IN THE THREE-COUNTY PRIMARY SERVICE AREA. PATIENTS RESIDING IN THE SEVENTEEN-COUNTY SECONDARY SERVICE AREA ACCOUNTED FOR 18.3% OF TOTAL HOSPITAL INPATIENT DISCHARGES DURING THIS SAME TIME PERIOD. THE REMAINING 32.2% OF TOTAL DISCHARGES WERE FROM PATIENTS RESIDING OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS.2023 DEMOGRAPHIC SUMMARYOMAHA METRO MARKET AREA: DOUGLAS, SARPY AND POTTAWATTAMIE COUNTIES SOURCES: ESRI (BASED ON US CENSUS BUREAU), UNITED STATES CENSUS BUREAU AND CHILDREN'S HOSPITAL AND MEDICAL CENTER PATIENT ENCOUNTER DATABASE.COMMUNITIES SERVED - URBAN, SUBURBAN AND RURAL # OF HOSPITALS SERVING COMMUNITY - 12TOTAL POPULATION 894,952PEDIATRIC POPULATION 220,459AVERAGE HOUSEHOLD INCOME $101,468PERCENT OF RESIDENTS BELOW FEDERAL POVERTY LEVELTOTAL POPULATION 10.8%UNDER AGE 18 12.2%PERCENT OF RESIDENTS ON MEDICAID 12.0%AGE POPULATION %OF TOTAL LESS THAN 18 220,459 24.6%18 TO 24 80,973 9.1%25 TO 44 257,539 28.8%45 TO 64 204,545 22.9%65+ 131,436 14.6%TOTAL 894,952 100.0%RACE POPULATION %OF TOTALWHITE 643,598 71.8%HISPANIC 112,166 12.5%BLACK 72,250 8.1%ASIAN/PACIFIC ISLANDER 35,032 4%OTHER/2+ RACES 24,148 2.6%AM. IND/ALASKA NAT 7,758 1%TOTAL 894,592 100.0%FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREASAPPROXIMATE % OF PATIENTS FROM MEDICALLY UNDERSERVED AREAS: 13.5%COUNTY # OF CENSUS TRACTS* TOTAL CENSUS TRACTS % OF TOTALDOUGLAS 36 156 23.1%SARPY 12 43 27.9%POTTAWATTAMIE 3 30 10.0%TOTAL 51 229 22.2%*CENSUS TRACT IS A GEOGRAPHICAL DIVISION OF 500 TO 3,000 HOUSEHOLDS
PART VI, LINE 5:PROUDLY SERVING CHILDREN SINCE 1948, CHILDREN'S MISSION IS TO IMPROVE THE LIFE OF EVERY CHILD THROUGH DEDICATION TO EXCEPTIONAL CARE, ADVOCACY, RESEARCH, AND EDUCATION. CHILDREN'S CENTER FOR COMMUNITY HEALTH & ADVOCACY IS A STATEWIDE COMMUNITY OUTREACH HUB OF CHILDREN'S. THE CENTER WAS LAUNCHED IN 2016 TO SERVE AS THE INFRASTRUCTURE FOR COMMUNITY HEALTH IMPROVEMENT, LEADING BOTH INTERNAL AND EXTERNAL PARTNERSHIPS AROUND PEDIATRICS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PLANNING AND IMPLEMENTATION.A LEADER IN PEDIATRIC HEALTH CARE, CHILDREN'S CONDUCTED MORE THAN 480,000 VISITS IN 2023. CHILDREN'S OFFERS UNIQUE RESOURCES TO CHILDREN ACROSS A THREE-STATE REGION AND BEYOND, AND IS THE ONLY FULL-SERVICE, PEDIATRIC HEALTH CARE CENTER IN NEBRASKA. IN ADDITION TO TRADITIONAL HOSPITAL-BASEDSERVICES, SOME OF THE OTHER PROGRAMS AND SERVICES CHILDREN'S OFFERS TO PATIENTS ARE BEHAVIORAL HEALTH, REHAB SERVICES, HOME HEALTH, URGENT CARE, WEIGHT & WELLNESS, AND SPECIALTY CARE CLINICS. IN ADDITION, CHILDREN'S OFFERS PALLIATIVE CARE, FAMILY RESOURCES, CHILD LIFE SPECIALISTS, PASTORAL CARE, SOCIAL WORKERS, NURSE CASE MANAGERS, INTERPRETERS, FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND OTHER PROGRAMS TO ENHANCE THE PATIENT EXPERIENCE.CHILDREN'S HAS ACHIEVED THE MAGNET DESIGNATION FOR NURSING EXCELLENCE, AND ITS PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS HAVE EARNED A BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, WHICH RECOGNIZES CRITICAL CARE UNITS WITH EXCELLENT PATIENT OUTCOMES THAT EXCEED NATIONAL BENCHMARKS. CHILDREN'S HAS BEEN NAMED BY U.S. NEWS & WORLD REPORT AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS, NATIONALLY RANKED IN PULMONOLOGY & LUNG SURGERY. U.S. NEWS RECOGNIZES HOSPITALS WITH EXCELLENT SURVIVAL RATES, PATIENT SAFETY, SPECIALIZED STAFF, AND HOSPITAL REPUTATION. ALL OF THE CHILDREN'S PHYSICIANS PRIMARY CARE OFFICES HAVE ACHIEVED THE HIGHEST NCQA PATIENT CENTERED MEDICAL HOME (PCMH) CERTIFICATION. A PEDIATRIC AFFILIATION ESTABLISHED BETWEEN CHILDREN'S AND THE UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF MEDICINE (UNMC) SUPPORTS ENHANCEMENTS IN PEDIATRIC EDUCATION, RESEARCH, AND CLINICAL CARE. CHILDREN'S SERVES AS THE PRIMARY ACADEMIC MEDICAL TRAINING LOCATION FOR THE UNMC DEPARTMENT OF PEDIATRICS.IN 2023, CHILDREN'S PROVIDED MORE THAN $205 MILLION IN COMMUNITY BENEFITS, REPRESENTING 34% OF THE HOSPITAL'S OPERATING EXPENSES. TOTAL COMMUNITY BENEFITS PROVIDED IN 2023 INCLUDED THE FOLLOWING:- PROVIDED $5.4 MILLION IN FINANCIAL ASSISTANCE TO FAMILIES UNABLE TO PAY. WITH 48% OF PATIENT CARE REVENUES DEVOTED TO THE CARE OF LOW-INCOME CHILDREN ASSISTED BY MEDICAID, THE 2023 SHORTFALL BETWEEN MEDICAID REIMBURSEMENT AND THE COST OF PROVIDING CARE WAS $84.0 MILLION.- CONTRIBUTED $5.6 MILLION TOWARDS COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS AIMED AT PROMOTING HEALTH AND PREVENTING ILLNESS AND INJURY MADE AVAILABLE THROUGH INJURY PREVENTION, OBESITY PREVENTION, PARENTING U EDUCATION CLASSES, OUTREACH EDUCATIONAL CLASSES, HEALTH FAIRS, JUST KIDS MAGAZINE, AND THE CONSUMER WEBSITE. CHILDREN'S GIVES BACK TO THE COMMUNITY THROUGH ADVOCACY SERVICES WHICH ARE AVAILABLE TO ANYONE SUSPECTING CHILD ABUSE OR NEGLECT, AND LODGING FOR FAMILIES OF OUT-OF-TOWN PATIENTS IS OFFERED AT THE CAROLYN SCOTT RAINBOW HOUSE AT NO COST.- CONTRIBUTED $27.5 MILLION IN PEDIATRIC HEALTH CARE EDUCATION COSTS TO EDUCATE TOMORROW'S HEALERS.-PROVIDED $4.6 MILLION IN SUBSIDIZED HEALTH SERVICES FOR BOTH HOME HEALTH AND BEHAVIORAL HEALTH SERVICES.-CONTRIBUTED $9.4 MILLION IN FUNDING FOR RESEARCH.- PROVIDED $69.2 MILLION IN CASH AND IN-KIND DONATIONS/SPONSORSHIPS TO BENEFIT THE BROADER COMMUNITY.
PART VI, LINE 6:CHILDREN'S HOSPITAL & MEDICAL CENTER IS NOT AFFILIATED WITH A GREATER HEALTH CARE SYSTEM, BUT IS ITS OWN HEALTH CARE SYSTEM WHICH THE HOSPITAL OPERATES THE FOLLOWING RELATED ORGANIZATIONS:- CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION- CHILDREN'S PHYSICIANS- CHILDREN'S HEALTH NETWORK- BRIGHT FOUNDRY
PART VI, LINE 7THE CHILDREN'S HOSPITAL & MEDICAL CENTER COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF NEBRASKA THROUGH THE NEBRASKA HOSPITAL ASSOCIATION, AND IS AVAILABLE TO THE PUBLIC ON THE WEBSITE AT:HTTPS://WWW.CHILDRENSNEBRASKA.ORG/GET-INVOLVED/ADVOCACY-OUTREACH/COMMUNITY-BENEFIT/

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
LEGAL AID OF NEBRASKA
209 S 19TH STOMAHANE68102470483506501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
985520 NE MED CTROMAHANE68198470049123501(C)(3)$3,040,691$0RESEARCH SUPPORT FOR MEDICAL SCHOOL
CEDARS YOUTH SERVICES INC
6601 PIONEERS BLVDLINCOLNNE68506470551975501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
NE PEDIATRIC PRACTICE
8200 DODGE STREETOMAHANE68114263064869501(C)(3)$17,251$0PEDIATRIC RESEARCH
COMPLETELY KIDS
2566 ST MARYS AVEOMAHANE68105275111197501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
NEBRASKA DIAPER BANK
9100 F STOMAHANE68127474953614501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
FOUNDATION FOR LINCOLN PUBLIC SCHOOLS
5905 O STLINCOLNNE68501363490560501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
NELSON MANDELA ELEMENTARY SCHOOL INC
6316 N 30TH STOMAHANE68111471348136501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
THE VALLEY CHILD DEVELOPMENT CENTER
500 WEST A AVERED CLOUDNE68970811174755501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
LENDING LINK
4706 S 24TH STOMAHANE68107832198837501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
BIG BROTHERS BIG SISTERS OF MIDLANDS
1209 HARNEY STOMAHANE68102470466144501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
RESTORING DIGNITY
3260 DAVENPORT STOMAHANE68131824375187501(C)(3)$10,000$0PREVENTION OF CHILDHOOD OBESITY
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFINANCIAL ASSISTANCE TO PATIENTS IN NEEDGrantTypeTxt
Recipient6677RecipientCnt
Cash Grant$12,776,376CashGrantAmt
Valuation Method UsedBOOKValuationMethodUsedDesc
Non Cash AssistanceWRITEOFF PATIENT ACCOUNTSNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY. THE AMOUNT OF FINANCIAL ASSISTANCE AN INDIVIDUAL CAN RECEIVE IS BASED ON THE ANNUAL GROSS INCOME THRESHOLDS USING THE CURRENT FEDERAL POVERTY LEVEL GUIDELINES. GRANTS TO ORGANIZATIONS ARE ONLY DISTRIBUTED TO 501(C)(3) OR GOVERNMENT ORGANIZATIONS BASED ON THE HOSPITAL'S EVALUATION CRITERIA.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
CHANDA CHACON
PRESIDENT & CEO$1,013,225$0$321,070$0$30,479$0$233,000$0$14,043$0$1,611,817$0$0$0
CHRISTOPHER MALONEY MD
EVP CHIEF CLINICAL OFFICER$663,135$0$246,647$0$107,298$0$133,469$0$522$0$1,151,071$0$63,479$0
ERIN WILLIS-LOUCKS MD
PHYSICIAN$861,927$0$35,000$0$4,114$0$33,400$0$21,617$0$956,058$0$0$0
AMY HATCHER
EVP & CFO$548,099$0$177,679$0$86,614$0$111,573$0$8,445$0$932,410$0$48,403$0
KATHY ENGLISH
EVP COO & CNO$567,072$0$184,019$0$126,601$0$38,100$0$7,836$0$923,628$0$0$0
AMY BONES
SVP & GENERAL COUNSEL$396,525$0$124,016$0$336,648$0$28,700$0$8,102$0$893,991$0$229,369$0
JEROLD VUCHAK
SVP CHIEF INFO OFFICER$423,252$0$145,089$0$37,117$0$77,510$0$8,130$0$691,098$0$0$0
JANEL ALLEN
SVP & CHIEF PEOPLE OFFICER$381,297$0$147,927$0$27,582$0$73,321$0$13,443$0$643,570$0$0$0
PAM JOHNSON-CARLSON
SVP PATIENT CARE SERVICES & CNO$358,044$0$40,000$0$51,560$0$18,000$0$7,443$0$475,047$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACHANDA CHACON'S SOCIAL CLUB DUES WERE PAID FOR BY THE ORGANIZATION TO BE USED FOR BUSINESS PURPOSES.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2023. THE AMOUNTS OF DEFERRED COMPENSATION DISTRIBUTED AND ACCRUED FOR EACH OF THE INDIVIDUALS DURING 2023 ARE AS FOLLOWS: CHANDA CHACON - $209,000 ACCRUAL, $0 PLAN DISTRIBUTION CHRISTOPHER MALONEY - $109,469 ACCRUAL, $72,843 PLAN DISTRIBUTION KATHY ENGLISH - $88,717 ACCRUAL, $88.717 PLAN DISTRIBUTION AMY HATCHER - $85,923 ACCRUAL, $55,543 PLAN DISTRIBUTION AMY BONES - $50,594 ACCRUAL, $301,529 PLAN DISTRIBUTION JEROLD VUCHAK - $53,834 ACCRUAL, $0 PLAN DISTRIBUTION JANEL ALLEN - $49,321 ACCRUAL, $0 PLAN DISTRIBUTION PAM JOHNSON-CARLSON - $42,900 ACCRUAL, $44,307 PLAN DISTRIBUTION

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
A521440796259230KT62008-08-12$100,881,609REFUND BONDS (6/8/2007)Yes (1)00
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
B521440796259230NJ52017-03-14$101,075,067USED TO CONSTRUCT HUBBARD CENTER FOR CHILDREN000
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
C521440796259230KT62017-11-28$26,885,000REFUND BONDS (8/12/2008)000
HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE
D521440796259230PJ32020-05-28$109,497,288HUBBARD / REFUND BONDS (9/10/2014)000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmt
A$72,915,000$100,892,290$751,783$24,826$2,755,000$97,360,6812008Yes (1)0Yes (1)Yes (1)
B$104,280,765$1,064,167$103,216,598202100Yes (1)Yes (1)
C$14,390,000$26,885,000$305,601$26,579,3992008Yes (1)0Yes (1)Yes (1)
D$3,995,000$109,498,595$1,132,344$90,024,355$18,331,8072021Yes (1)0Yes (1)Yes (1)$10,089

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.0020000Yes (1)
B000000Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002000.0020000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MORGAN STANLEY
A00Yes (1)Yes (1)Yes (1)Yes (1)25.0000000000000000Yes (1)
(no name)
B000Yes (1)0000Yes (1)
(no name)
C00Yes (1)Yes (1)0000Yes (1)
(no name)
D00Yes (1)Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 3THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS.
PART IV, LINE 2CDATE THE REBATE COMPUTATION WAS PERFORMED: 10/02/2017 (2008 BONDS) DATE THE REBATE COMPUTATION WAS PERFORMED: 02/28/2020 (2017 BONDS) DATE THE REBATE COMPUTATION WAS PERFORMED: 05/28/2018 (2017B BONDS) DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2021 (2020A&B BONDS)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4SYNOPSIS OF CHANGES TO THE HOSPITAL'S BYLAWS: 1. ARTICLE V, SECTION 1(A) - ADDED ADVANCED PRACTICE PROVIDERS TO LIST OF GROUPS SUBJECT TO THE CONTROL, DIRECTION AND REMOVAL BY THE BOARD. 2. ARTICLE VI, SECTION 5 - INCREASED QUORUM FOR BOARD MEETING FROM 1/3 OF MEMBERS TO MAJORITY OF MEMBERS. 3. ARTICLE VIII, SECTION 1(A) - CHANGED INVESTMENT COMMITTEE FROM A SEPARATE STANDING COMMITTEE OF THE BOARD TO A SUBCOMMITTEE OF THE FINANCE, AUDIT & COMPLIANCE COMMITTEE. 4. ARTICLE VIII, SECTION 1(D) - INCREASED QUORUM FOR COMMITTEE MEETING FROM THE GREATER OF 1/3 OF MEMBERS OR 2 TO A MAJORITY OF MEMBERS. 5. ARTICLE VIII, SECTION 6(A) - CLARIFIED ALL MEMBERS OF THE FINANCE, AUDIT & COMPLIANCE COMMITTEE (EXCEPT THE PRESIDENT & CEO) WILL BE INDEPENDENT BOARD MEMBERS AS DEFINED IN THE CONFLICT OF INTEREST POLICY. 6. ARTICLE X, SECTION 1 - CHANGED MEDICAL STAFF APPOINTMENT FROM 2 YEARS TO 3 YEARS.
FORM 990, PART VI, SECTION B, LINE 11BGOVERNANCE, MANAGEMENT, AND DISCLOSURE A COMPLETE COPY OF THE FORM 990, EXCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, IS MADE AVAILABLE TO THE HOSPITAL BOARD OF DIRECTORS VIA THE DIRECTORS DESK 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 HOSPITAL'S BOARD OF DIRECTORS AT ITS NOVEMBER MEETING.
FORM 990, PART VI, SECTION B, LINE 12CPOLICIES THE CONFLICT-OF-INTEREST POLICY APPLIES TO ANY PERSON IN A POSITION TO EXERCISE INFLUENCE IN CONNECTION WITH ANY CONTRACT, TRANSACTION OR ARRANGEMENT PRESENTED TO THE BOARD OR A BOARD COMMITTEE FOR APPROVAL (COVERED PERSON). COVERED PERSON INCLUDES (BUT IS NOT LIMITED TO) ANY DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, OR KEY EMPLOYEE/STAFF. ALL COVERED PERSONS MUST ANNUALLY SUBMIT A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE IN THE FORMAT PRESCRIBED BY THE GOVERNANCE COMMITTEE FROM TIME TO TIME. EACH COVERED PERSON SHALL ANNUALLY ACKNOWLEDGE IN WRITING THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THE POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO THE BOARD AND COMMITTEES; (E) UNDERSTANDS THAT CHILDREN'S IS A NOT-FOR-PROFIT ORGANIZATION THAT MUST ENGAGE PRIMARILY IN EXEMPT ACTIVITIES; (F) AGREES TO PROMPTLY REPORT TO THE CHAIR OF THE GOVERNANCE COMMITTEE, AND CHILDREN'S GENERAL COUNSEL ANY CHANGE TO MATTERS PREVIOUSLY DISCLOSED ON THE CONFLICT OF INTEREST QUESTIONNAIRE; AND (G) STATES THAT THE INFORMATION HE OR SHE WILL PROVIDE IN THE CONFLICT OF INTEREST QUESTIONNAIRE IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF. A COVERED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST OR ANY SITUATIONS THAT COULD CREATE AN APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES OR WHENEVER IT INVOLVES A MATTER OF BOARD/COMMITTEE ACTION. DISCLOSURE MEANS PROMPTLY PROVIDING THE MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO THE CHAIR OF THE GOVERNANCE COMMITTEE AND CHILDREN'S GENERAL COUNSEL (IN WRITING IF TIME ALLOWS) OR TO THE BOARD OR BOARD COMMITTEE REVIEWING THE CONTRACT, TRANSACTION OR ARRANGEMENT. THE GOVERNANCE COMMITTEE WILL BE CONVENED TO CONSIDER THE DISCLOSURE. CERTAIN CIRCUMSTANCES, IN ADDITION TO FINANCIAL INTERESTS, COULD GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST, INCLUDING INSTANCES WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF CHILDREN'S ALSO INVOLVE OBTAINING A PERSONAL GAIN OR ADVANTAGE, OR COULD HAVE AN ADVERSE EFFECT ON CHILDREN'S INTERESTS. A COVERED PERSON MUST ALSO MAKE A DISCLOSURE WHENEVER HE OR SHE HAS A PERSONAL, NON-FAMILIAL RELATIONSHIP THAT COULD IMPACT, OR APPEAR TO IMPACT, THE BOARD MEMBER'S ABILITY TO EXERCISE THEIR INDEPENDENT JUDGMENT IN CARRYING OUT THE DIRECTOR'S FIDUCIARY RESPONSIBILITIES. ALSO, DISCLOSING OR USING INFORMATION RELATING TO CHILDREN'S BUSINESS FOR THE PERSONAL PROFIT OR ADVANTAGE OF AN INDIVIDUAL OR HIS OR HER FAMILY, OR OTHER COLLEAGUES OF THE DIRECTOR, OR DISCLOSING MATTERS DISCUSSED DURING BOARD OR COMMITTEE MEETINGS, COULD GIVE RISE TO A CLAIM OF CONFLICT AND MUST NOT OCCUR. A POTENTIAL CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST, DOES NOT NECESSARILY RISE TO THE LEVEL OF AN ACTUAL CONFLICT OF INTEREST, BUT ONCE RECOGNIZED, IT MUST IN EVERY CASE BE DISCLOSED AND EVALUATED. THE GOVERNANCE COMMITTEE WILL CONSIDER THE FOLLOWING FACTORS, AMONG OTHER RELEVANT FACTS, WHEN DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS: (I) THE PROXIMITY OF THE COVERED PERSON TO THE DECISION-MAKING AUTHORITY OF THE OTHER ENTITY INVOLVED IN THE TRANSACTION OR BUSINESS ARRANGEMENT; (II) THE MAGNITUDE OF THE FINANCIAL INTEREST OR PERSONAL INTEREST; (III) THE DEGREE TO WHICH THE COVERED PERSON MIGHT BENEFIT PERSONALLY IF A PARTICULAR TRANSACTION OR BUSINESS ARRANGEMENT WERE APPROVED; (IV) THE ABILITY OF THE COVERED PERSON TO MAKE AN INDEPENDENT DECISION BASED ONLY ON THE BEST INTEREST OF CHILDREN'S; AND (V) SUCH OTHER FACTORS THAT MAY BE RELEVANT TO THE PARTICULAR MATTER. THE GOVERNANCE COMMITTEE SHALL REVIEW EACH COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE AND MAY MAKE SUCH FURTHER INVESTIGATION OF POTENTIAL CONFLICTS AS IT MAY DETERMINE APPROPRIATE. THE GOVERNANCE COMMITTEE SHALL MAKE APPROPRIATE REPORTS TO THE BOARD CONCERNING ITS REVIEW, ANY FURTHER INVESTIGATION, AND ITS RECOMMENDATIONS TO THE BOARD REGARDING ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST, OR ANY APPEARANCE OF A CONFLICT OF INTEREST. WHENEVER A COVERED PERSON (OR A PERSON OTHER THAN THE COVERED PERSON) VOLUNTARILY IDENTIFIES OR DISCLOSES A POTENTIAL CONFLICT OF INTEREST, THE GOVERNANCE COMMITTEE SHALL FOLLOW THE SAME PROCEDURE OUTLINED ABOVE. TRANSACTIONS OR BUSINESS ARRANGEMENTS WITH COVERED PERSONS WITH CONFLICTS OF INTEREST MUST BE APPROVED IN ADVANCE BY A MAJORITY OF INDEPENDENT DIRECTORS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN CHILDREN'S BEST INTEREST, IS FAIR AND REASONABLE TO CHILDREN'S AND THAT, AFTER REASONABLE INVESTIGATION, THE INDEPENDENT DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. THE CONFLICTED DIRECTOR WILL RECUSE HIMSELF/HERSELF. IN CASES IN WHICH A COVERED PERSON HAS AN INTEREST OR A RELATIONSHIP THAT CALLS INTO QUESTION THE ABILITY OF THE COVERED PERSON TO ACT SOLELY IN CHILDREN'S BEST INTERESTS, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN, AT THE DISCRETION OF THE BOARD OR THE GOVERNANCE COMMITTEE: (A) THE COVERED PERSON WILL BE REQUIRED TO LEAVE THE MEETING FOR THE GENERAL DISCUSSION OF THE MATTER AND THE BOARD VOTE; (B) THE GOVERNANCE COMMITTEE CAN RECOMMEND TO THE BOARD THAT A DIRECTOR OR A MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS BE ASKED TO RESIGN IN THE EVENT A CONFLICT OF INTEREST IS SO SUBSTANTIAL THAT IT WOULD BE INCOMPATIBLE WITH CHILDREN'S BEST INTERESTS TO HAVE SUCH AN INDIVIDUAL ON ITS BOARD/COMMITTEE. IF THE BOARD/COMMITTEE BELIEVES A COVERED PERSON HAS FAILED TO COMPLY WITH THIS POLICY, THE BOARD SHALL INFORM THAT PERSON OF THE BASIS FOR ITS BELIEF AND GIVE THAT PERSON AN OPPORTUNITY TO ADDRESS THE ALLEGED FAILURE. AFTER HEARING THE RESPONSE AND CONDUCTING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD/COMMITTEE SHALL DETERMINE WHETHER SUCH PERSON HAS, IN FACT, VIOLATED THE DISCLOSURE REQUIREMENTS OF THE POLICY. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WHICH MAY INCLUDE REMOVAL FROM THE BOARD. AT ANY BOARD/COMMITTEE MEETING AT WHICH A CONFLICT-OF-INTEREST ISSUE IS ADDRESSED, THE MINUTES OF THE BOARD/COMMITTEE MEETING SHALL REFLECT THE PROCESS THAT WAS FOLLOWED, AND THE ACTIONS TAKEN BY THE BOARD/COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15LINE 15A AND 15B POLICIES EACH YEAR AN INDEPENDENT COMPANY CONDUCTS A MARKET ANALYSIS OF EXECUTIVE COMPENSATION. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPANY ISSUES AN ANNUAL REASONABLENESS OPINION LETTER REGARDING THE APPROPRIATENESS OF THE EXECUTIVE PAY LEVELS. THE COMPENSATION COMMITTEE IS A SUB-COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE REVIEWS BASE PAY RANGES FOR ALL EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND VICE PRESIDENTS. THE BOARD OF DIRECTORS RECEIVES A REPORT FROM THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19GOVERNANCE, MANAGEMENT, AND DISCLOSURE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. THE CHILDREN'S HOSPITAL & MEDICAL CENTER AND AFFILIATES AUDITED FINANCIAL STATEMENTS CAN BE OBTAINED THROUGH PUBLICLY AVAILABLE SOURCES SUCH AS EMMA.MSRB.ORG.
FORM 990, PART XI, LINE 9:CAPITAL TRANSFERS FROM THE FOUNDATION 28,524,615. TEMP RESTRICTED CONTRIBUTIONS 8,001,166. CAPITAL TRANSFERS TO CHILDREN'S HEALTH NETWORK -351,963.
FORM 990, PART XII, LINE 3ASINGLE AUDIT FOR TAX YEAR 2021 WAS CONDUCTED IN TAX YEAR 2023.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BRIGHT FOUNDRY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
EIN923343051EIN
Primary ActivitiesINNOVATIONPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHMCBusinessNameLine1Txt

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
CHILDREN'S HOSPITAL FOUNDATION
8200 DODGE STREETOMAHANE68114476105603FUNDRAISINGNE501(C)(3)LINE 7CHMCYes (1)
CHILDREN'S PHYSICIANS
8200 DODGE STREETOMAHANE68114470689372PED CLINICSNE501(C)(3)LINE 10CHMCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmt
KENT INC
8200 DODGE STREETOMAHANE68114470527928REAL ESTATENECHMCC$219,4951.00000Yes (1)
CHILDREN'S HEALTH NETWORK
8200 DODGE STREETOMAHANE68114363967578HEALTH NETWORKNECHMCC1.00000Yes (1)-$351,963
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOSPITAL FOUNDATION
C$8,474,685BOOK
CHILDREN'S HOSPITAL FOUNDATION
L$286,881BOOK
CHILDREN'S PHYSICIANS
L$2,467,538BOOK
CHILDREN'S HOSPITAL FOUNDATION
S$28,524,615BOOK