MADONNA REHABILITATION HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MADONNA REHABILITATION HOSPITAL (EIN 47-0439599)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202341329349300434
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T09:12:28-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18081 BURT ST STE 200	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	680224722	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470439599	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MADONNA REHABILITATION HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MADO	BusinessNameControlTxt
Phone	4024133000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5401 SOUTH STREET	AddressLine1Txt
City	LINCOLN	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	685062134	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL HEDDERMAN	PersonNm
Person Title	VICE PRESIDENT & CFO	PersonTitleTxt
Phone	4024133000	PhoneNum
Signature	2023-05-11	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	HEDDERMAN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MEGAN L KOZIOL CPA	PreparerPersonNm
PTIN	P01544037	PTIN
Phone	4023302660	PhoneNum
Preparation	2023-05-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL HEDDERMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5401 SOUTH STREET	AddressLine1Txt
City	LINCOLN	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	685062134	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$187,571,880	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MADONNA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1967	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	MADONNA REHABILITATION HOSPITAL IS A CATHOLIC ORGANIZATION THAT EXISTS TO PROVIDE MEDICAL AND PHYSICAL REHABILITATION SERVICES TO CHILDREN AND ADULTS THROUGHOUT THE NATION. WE REHABILITATE THOSE WHO HAVE SUSTAINED INJURIES OR DISABLING CONDITIONS SO THEY CAN FULLY PARTICIPATE IN LIFE; LEAD RESEARCH TO IMPROVE OUTCOMES; AND PREVENT PHYSICAL DISABILITIES AND PROMOTE WELLNESS THROUGH COMMUNITY PROGRAMS.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	2451	TotalEmployeeCnt
Total Volunteers	125	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,016,784	PYContributionsGrantsAmt
CY Contributions Grants	$4,459,418	CYContributionsGrantsAmt
PY Program Service Revenue	$182,288,547	PYProgramServiceRevenueAmt
CY Program Service Revenue	$180,184,942	CYProgramServiceRevenueAmt
PY Investment Income	$13,381,638	PYInvestmentIncomeAmt
CY Investment Income	$2,927,520	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$208,686,969	PYTotalRevenueAmt
CY Total Revenue	$187,571,880	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$125,650,210	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$127,027,808	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$47,919,159	PYOtherExpensesAmt
CY Other Expenses	$55,815,654	CYOtherExpensesAmt
PY Total Expenses	$173,569,369	PYTotalExpensesAmt
CY Total Expenses	$182,843,462	CYTotalExpensesAmt
PY Revenues Less Expenses	$35,117,600	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,728,418	CYRevenuesLessExpensesAmt
Total Assets BOY	$298,912,526	TotalAssetsBOYAmt
Total Assets EOY	$294,312,557	TotalAssetsEOYAmt
Total Liabilities BOY	$90,830,012	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$91,034,746	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$208,082,514	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$203,277,811	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MADONNA REHABILITATION HOSPITAL IS A CATHOLIC ORGANIZATION THAT EXISTS TO PROVIDE MEDICAL AND PHYSICAL REHABILITATION SERVICES TO CHILDREN AND ADULTS THROUGHOUT THE NATION. WE REHABILITATE THOSE WHO HAVE SUSTAINED INJURIES OR DISABLING CONDITIONS SO THEY CAN FULLY PARTICIPATE IN LIFE; LEAD RESEARCH TO IMPROVE OUTCOMES; AND PREVENT PHYSICAL DISABILITIES AND PROMOTE WELLNESS THROUGH COMMUNITY PROGRAMS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$108,759,340	ExpenseAmt
Revenue	$129,921,913	RevenueAmt
Desc	MADONNA FULFILLS THIS MISSION BY DELIVERING EXPERT AND COMPREHENSIVE REHABILITATION, TREATING EACH PERSON AS A UNIQUE INDIVIDUAL. MADONNA'S HOSPITALS INTEGRATE THE PHYSICAL, PSYCHOLOGICAL, SOCIAL, SPIRITUAL AND VOCATIONAL ASPECTS OF EACH PATIENT'S LIFE. THE HOSPITALS' PROGRAMS SUPPORT THE UNMET NEEDS OF OUR COMMUNITY AND REGION AND ARE DEVOTED TO RETURNING PEOPLE TO THEIR HOMES, COMMUNITIES AND JOBS OR SCHOOL. IN FY 2022 MADONNA ADMITTED 2,264 HOSPITAL INPATIENTS FROM 19 STATES. THE HOSPITAL RECEIVED REFERRALS FROM 850 PHYSICIANS AND 101 HOSPITALS OR HEALTH CARE FACILITIES. IN FY 2022, MADONNA OPERATED TWO INPATIENT REHABILITATION FACILITIES (IRFS): MADONNA REHABILITATION HOSPITAL LINCOLN (MRH-L) AND ACUTE REHABILITATION OMAHA (AR-O) AND TWO LONG-TERM CARE HOSPITALS (LTCHS): MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN (MRSH-L) AND MADONNA REHABILITATION SPECIALTY HOSPITAL OMAHA (MRSH-O). MRH-L, AR-O, MRSH-L AND MRSH-O OFFER COMPREHENSIVE CARE TO ENSURE CONTINUITY AS PATIENTS' PROGRESS IN THEIR RECOVERY OR FROM ONE HOSPITAL TO ANOTHER. ALL HOSPITALS EMPLOY AN INTERDISCIPLINARY TEAM APPROACH INVOLVING THE PATIENT AND FAMILY, REFERRING PHYSICIAN, REHABILITATION PHYSICIAN, HOSPITALIST, CASE MANAGER, NUTRITION THERAPIST, RESPIRATORY THERAPIST, REHABILITATION NURSE, PHYSICAL AND OCCUPATIONAL THERAPISTS, ORTHOTIC AND PROSTHETIC TECHNICIAN, PSYCHOLOGIST, SOCIAL WORKERS, SPEECH-LANGUAGE PATHOLOGISTS, THERAPEUTIC RECREATION SPECIALISTS, VOCATIONAL REHABILITATION CONSULTANTS AND SPIRITUAL CARE COUNSELORS. MADONNA'S EXPERIENCED STAFF TREAT THOUSANDS OF INDIVIDUALS THROUGH INPATIENT AND OUTPATIENT SERVICES EVERY YEAR, OFFERING EVERY PATIENT THE LATEST TECHNIQUES AND METHODS TO PRODUCE THE BEST RESULTS. AS ONE OF THE LARGEST, FREESTANDING REHABILITATION HOSPITAL SYSTEMS IN THE UNITED STATES, MADONNA PROVIDES:-INTENSIVE THERAPY PROGRAMMING-PROGRAMS WITH LESS INTENSIVE THERAPY, DEPENDING ON THE NEEDS OF THE PATIENT-24-HOUR REHABILITATION NURSING AND PHYSICIAN SUPERVISION-A CONTINUUM OF SERVICES TO ENSURE PROGRESS IS MAINTAINED FROM INPATIENT TO OUTPATIENT PROGRAMSOUR SPECIALTY REHABILITATION PROGRAMS FOCUS ON THE NEEDS OF CHILDREN AND ADULTS FOLLOWING TRAUMATIC INJURY AND ILLNESS, INCLUDING: BRAIN INJURY, SPINAL CORD INJURY, STROKE, PULMONARY CONDITIONS, NEUROLOGICAL DISORDERS AND MAJOR MULTIPLE TRAUMA. MADONNA REHABILITATION HOSPITAL HAS 20 SEPARATE PROGRAM ACCREDITATIONS FROM THE COMMISSION ON THE ACCREDITATION OF REHABILITATION FACILITIES (CARF) IN THE AREA OF MEDICAL REHABILITATION. THIS INCLUDES: -INPATIENT REHABILITATION PROGRAMS FOR THE IRFS, LTCHS AND TRANSITIONAL CARE UNIT (TCU)-BRAIN INJURY PROGRAM INPATIENT/OUTPATIENT (ADULT AND PEDIATRIC)-CANCER SPECIALTY PROGRAM INPATIENT/OUTPATIENT (ADULT AND PEDIATRIC), OMAHA ONLY-SPINAL CORD SPECIALTY PROGRAM INPATIENT/OUTPATIENT (ADULT AND PEDIATRIC), LINCOLN ONLY-STROKE SPECIALTY PROGRAM INPATIENT/OUTPATIENT (ADULT)-PEDIATRIC SPECIALTY PROGRAM INPATIENT/OUTPATIENT-INTERDISCIPLINARY OUTPATIENT MEDICAL REHABILITATION PROGRAMS MULTIPLE SERVICEMADONNA REHABILITATION HOSPITAL LINCOLN PATIENTS AT MRH-L RANK IN THE TOP 3% NATIONALLY IN TERMS OF COMPLEXITY, WHILE DISCHARGING BACK TO COMMUNITY SETTINGS AT A HIGHER RATE ACCORDING TO INDUSTRY BENCHMARKS. DESPITE THIS COMPLEXITY, 75.6% OF PATIENTS DISCHARGED DIRECTLY TO A COMMUNITY SETTING, COMPARED TO EREHAB BENCHMARK OF 71.9%. PATIENTS AT MRH-L MADE HIGHER FUNCTIONAL GAINS IN AREAS SUCH AS MOBILITY AND SELF-CARE THAN THE NATION AND DISCHARGED AT A HIGHER FUNCTIONAL LEVEL OVERALL. ADDITIONALLY, THE OVERALL PATIENT SATISFACTION RATE FOR MRH-L WAS 87.3%. ACUTE REHABILITATION OMAHA IN OCTOBER OF 2022, MADONNA WILL COMPLETE ITS SIXTH YEAR OF OPERATING REHABILITATION BEDS IN OMAHA. AR-O, OVERALL, RETURNED 77.5% OF PATIENTS TO A COMMUNITY DESTINATION RATHER THAN TO AN INSTITUTION, APPROXIMATING THE EREHAB DATA BENCHMARKS. PATIENTS AT AR-O MADE HIGHER FUNCTIONAL GAINS IN AREAS SUCH AS MOBILITY AND SELF-CARE THAN THE NATION AND DISCHARGED AT A HIGHER FUNCTIONAL LEVEL OVERALL. ADDITIONALLY, THE OVERALL PATIENT SATISFACTION RATE FOR AR-O WAS 94.7%.MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN MRSH-L FY 2022 PATIENT DISCHARGE TO HOME OR TO AN ACUTE REHABILITATION HOSPITAL TO CONTINUE THEIR RECOVERY WAS 57.9% FOR THE YEAR. 75% OF PATIENTS ADMITTED ON A MECHANICAL VENTILATOR WEANED IN AN AVERAGE OF 19.7 DAYS. ADDITIONALLY, THE OVERALL PATIENT SATISFACTION RATE FOR MRSH-L WAS 83.6%.MADONNA REHABILITATION SPECIALTY HOSPITAL OMAHA MRSH-O FY 2022 PATIENT DISCHARGE TO HOME OR TO AN ACUTE REHABILITATION HOSPITAL TO CONTINUE THEIR RECOVERY WAS 55.9% FOR THE YEAR. 54.6% OF PATIENTS ADMITTED ON A MECHANICAL VENTILATOR WEANED IN AN AVERAGE OF 11.3 DAYS. ADDITIONALLY, THE OVERALL PATIENT SATISFACTION RATE FOR MRSH-O WAS 93.5%.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$24,957,721	ExpenseAmt
Revenue	$22,916,836	RevenueAmt
Desc	ST. JANE DE CHANTAL (ST. JANE) IS COMPRISED OF A 30-BED VENTILATOR AND SPECIAL CARE UNIT (VAU/SN), A 30-BED TRANSITIONAL CARE REHABILITATION UNIT (TCU) AND A 66-BED NURSING HOME. THE EXPANSION OF TCU TO INCLUDE ALL PRIVATE ROOMS TO CARE FOR CLINICALLY COMPLEX PATIENTS HAS BEEN COMPLETED. PATIENT/FAMILY SATISFACTION HAS INCREASED. ST. JANE RECEIVED A THREE YEAR CARF ACCREDITATION FOR OUR INPATIENT REHABILITATION PROGRAMS SKILLED NURSING (ADULTS), EFFECTIVE JULY 2021 - JULY 2024.IN 2021 ST. JANE RECEIVED A DEFICIENCY FREE SURVEY FROM THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS). ST. JANE MAINTAINED A CMS 5-STAR RATING AND "COVID 19 HERO'S" AWARD DUE TO OUR LOW INCIDENCE OF COVID CASES. ST. JANE CONTINUES TO BE RECOGNIZED AS ONE OF THE BEST NURSING HOMES IN NEBRASKA AS PUBLISHED IN U.S. NEWS & WORLD REPORT, 2021-2022. ST. JANE RECEIVED RECOGNITION IN 2021 AS ONE OF THE TOP NURSING HOMES IN NEBRASKA 5 STAR RATED AS PUBLISHED IN MEDICARE.GOV 2021.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$10,546,541	ExpenseAmt
Revenue	$10,716,290	RevenueAmt
Desc	MADONNA THERAPYPLUS IS COMMITTED TO PROVIDING EXCELLENT CARE FOR PATIENTS WHO NEED OUTPATIENT REHABILITATION. THERAPYPLUS OFFERS A RANGE OF REHABILITATION SERVICES FOR SPORTS INJURIES, ORTHOPEDIC SPRAINS, STRAINS AND POST-OPERATIVE CARE TO COMPREHENSIVE REHABILITATION FOR NEUROLOGICAL CONDITIONS. THERAPYPLUS INCLUDES THE FIT FOR WORK PROGRAM, WHICH COMBINES OCCUPATIONAL HEALTH, WELLNESS, SAFETY AND COORDINATION OF WORKERS' COMPENSATION WITH THE EXPERT SERVICES CONVENIENTLY AVAILABLE FROM MADONNA REHABILITATION HOSPITALS, MADONNA THERAPYPLUS OUTPATIENT CLINICS AND MADONNA PROACTIVE.IN FY 2022, THERAPYPLUS HAD A 14% INCREASE IN THE NUMBER OF PATIENTS SERVED ACROSS ALL LOCATIONS AND FOR ALL SERVICES COMPARED TO PRIOR YEAR. THE RESUMPTION OF ELECTIVE SURGERIES AS WELL AS, PEOPLE RESUMING PARTICIPATION IN PREVENTATIVE AND OTHER HEALTH CARE SERVICES WERE KEY FACTORS IN THIS GROWTH. AS EXPECTED, THERE WERE OCCASIONAL VOLUME IMPACTS DUE TO THE COMMUNITY COVID-19 ACTIVITY ATTRIBUTED TO SEVERAL VARIANTS. IN FY2022, THERAPYPLUS LAUNCHED A COMPREHENSIVE POST-COVID REHABILITATION CLINIC. THIS CLINIC INCLUDES AN INTERDISCIPLINARY REHABILITATION TEAM INCLUDING NEUROPSYCHOLOGY AND PHYSIATRY. FOCUS THROUGH THE CLINIC IS TO ADDRESS THE WIDE SPECTRUM OF REHABILITATION NEEDS FOR THOSE WHO ARE EXPERIENCING LINGERING EFFECTS FROM COVID INFECTION. THE CLINIC PROVIDES AN INDIVIDUALIZED APPROACH FOR A SAFE RETURN TO LIFE AND WORK ACTIVITIES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$18,582,145	ExpenseAmt
Revenue	$16,629,903	RevenueAmt
Desc	MADONNA PROACTIVE IS A MEDICALLY-BASED HEALTH, FITNESS AND WELLNESS FACILITY AND THE FIRST TO BE BASED ON A REHABILITATION MODEL. MADONNA PROACTIVE PROVIDES MEDICAL, THERAPEUTIC AND EDUCATIONAL FITNESS AND WELLNESS EXPERTISE IN ADDITION TO THE LATEST TECHNOLOGY.IN FY 2022, PROACTIVE SIGNIFICANTLY IMPROVED WITH MEMBERSHIP AND SERVICE UTILIZATION. SHIFTING AWAY FROM HOME-BASED GYM SETUPS THAT WERE CREATED IN THE INITIAL PHASES OF THE PANDEMIC AS WELL, COMMUNITY COMFORT AND COMMITMENT IN RESUMING PRIOR ACTIVITIES, HAVE BEEN THE KEY DRIVERS FOR THE VOLUME INCREASE. IN ADDITION, PROACTIVE CONTINUES TO EXPAND ESSENTIAL MEDICAL AND WELLNESS PROGRAMMING IN SEVERAL KEY AREAS TO FURTHER ENHANCE THE CONTINUUM OF CARE THAT MADONNA PROVIDES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$18,582,145	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$16,629,903	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$162,845,747	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	51	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2451	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL HEDDERMAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4024133000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5401 SOUTH STREET	AddressLine1Txt
City	LINCOLN	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	685062134	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN WERTS
CHAIRPERSON	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID GANNON MD
VICE CHAIRPERSON	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL DONGILLI
PRESIDENT AND CEO	40.00	1.00	Yes (X)	Yes (X)	$675,289	$0	$38,284
FR JOHN SULLIVAN
VICE PRESIDENT	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
WILL DOUGLAS
SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
LAUREN PUGLIESE
TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
SCOTT BECKER CPA
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MARK FAHLESON
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
KACEY LEMPKA
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
BRAD NIETFELDT
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
GARY PERKINS
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SARAH PILLEN
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
LYNN ROPER
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
PATRICK SPETHMAN
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MIKE PALLESEN
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
GREG VASEK
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
TIFFANY VERZAL
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
TERRY ZACH MD
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JIM FITCH
MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
DAN VOKOUN
MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SUSAN K KLANECKY
VP PATIENT CARE & ADMIN MRSH-LINCOLN	40.00	0.00		Yes (X)	$268,071	$0	$20,261
CHRISTOPHER A LEE
VP AND COO	40.00	0.00		Yes (X)	$288,986	$0	$34,354
LOU ANN MANSKE
VP HUMAN RESOURCES	40.00	0.00		Yes (X)	$266,322	$0	$12,183
LYNN R HALLOWELL-GOTTSLEBEN
VP REHABILITATION	40.00	0.00		Yes (X)	$202,417	$0	$23,629
LINDA S SUNDELL-SULLIVAN
VP REFERRAL RELATIONS	40.00	0.00		Yes (X)	$190,564	$0	$20,701
DANIEL GRIESS
VP FACILITIES MANAGEMENT S	40.00	0.00		Yes (X)	$245,784	$0	$20,226
MICHAEL HEDDERMAN
VP AND CFO	40.00	0.00		Yes (X)	$303,970	$0	$29,429
JEFF GROMOWSKY
VP & PHYSICIAN PRACTICE AD	40.00	0.00		Yes (X)	$196,484	$0	$30,748
DONALD SCHMIDT
VP OF MEDICAL AFFAIRS/CHIE	40.00	0.00		Yes (X)	$362,701	$0	$32,884
ADAM T KAFKA
STAFF PHYSIATRIST	40.00	0.00			$622,104	$0	$19,179	Yes (X)
JIAXIN TRAN
STAFF PHYSIATRIST	40.00	0.00			$497,824	$0	$28,468	Yes (X)
MORGAN L LAHOLT
STAFF PHYSIATRIST	40.00	0.00			$443,738	$0	$15,405	Yes (X)
PAUL L KRABBENHOFT
STAFF PHYSIATRIST	40.00	0.00			$357,391	$0	$28,362	Yes (X)
MATTHEW DRIEWER
STAFF PHYSIATRIST	40.00	0.00			$390,619	$0	$20,949	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,312,264	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$375,062	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	120	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RTG MEDICAL
1005 E 23RD ST STE 200	FREMONT	NE	68025	MEDICAL SERVICES	$3,011,482
NEBRASKA MEDICINE
4350 DEWEY AVE	OMAHA	NE	68105	MEDICAL SERVICES	$1,897,132
UNMC
985045 NEBRASKA MEDICAL CENTER	OMAHA	NE	68198	MEDICAL EDUCATION	$1,703,538
FUSION MEDICAL STAFFING LLC
PO BOX 82674	LINCOLN	NE	685012674	STAFFING SERVICES	$1,346,946
NOLL HEALTHCARE NETWORK
12905 W DODGE RD	OMAHA	NE	68154	MEDICAL SERVICES	$1,051,640

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,855,538	RelatedOrganizationsAmt
Government Grants	$2,415,667	GovernmentGrantsAmt
All Other Contributions	$188,213	AllOtherContributionsAmt
Noncash Contributions	$103,895	NoncashContributionsAmt
Total Contributions	$4,459,418	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE, NET	900099	$132,506,618	$132,506,618
LONG-TERM CARE	900099	$22,916,836	$22,916,836
OUTPATIENT	900099	$10,716,290	$10,716,290
PHYSICIAN SERVICES	900099	$8,417,248	$8,417,248

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,627,950	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,627,950	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$180,184,942	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,927,520	TotalRevenueColumnAmt
Exclusion	$2,927,520	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$187,571,880	TotalRevenueColumnAmt
Related Or Exempt Func Income	$180,184,942	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,927,520	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,263,287	TotalAmt
Management And General	$3,263,287	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$98,946,668	TotalAmt
Program Services	$89,952,685	ProgramServicesAmt
Management And General	$8,993,983	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,047,893	TotalAmt
Program Services	$3,020,893	ProgramServicesAmt
Management And General	$27,000	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,497,135	TotalAmt
Program Services	$13,359,976	ProgramServicesAmt
Management And General	$1,137,159	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,272,825	TotalAmt
Program Services	$6,743,471	ProgramServicesAmt
Management And General	$529,354	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$93,166	TotalAmt
Program Services	$35,447	ProgramServicesAmt
Management And General	$57,719	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$61,500	TotalAmt
Management And General	$61,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$44,122	TotalAmt
Management And General	$44,122	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$169,035	TotalAmt
Management And General	$169,035	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$21,687,810	TotalAmt
Program Services	$20,144,103	ProgramServicesAmt
Management And General	$1,543,707	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$914,485	TotalAmt
Program Services	$288,757	ProgramServicesAmt
Management And General	$625,728	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,105,553	TotalAmt
Program Services	$11,823,079	ProgramServicesAmt
Management And General	$282,474	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,203,756	TotalAmt
Program Services	$1,049,608	ProgramServicesAmt
Management And General	$1,154,148	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,001,284	TotalAmt
Program Services	$2,168,894	ProgramServicesAmt
Management And General	$832,390	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$523,122	TotalAmt
Program Services	$472,971	ProgramServicesAmt
Management And General	$50,151	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$347,605	TotalAmt
Program Services	$311,807	ProgramServicesAmt
Management And General	$35,798	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,933,761	TotalAmt
Program Services	$2,655,727	ProgramServicesAmt
Management And General	$278,034	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,758,970	TotalAmt
Program Services	$9,009,732	ProgramServicesAmt
Management And General	$749,238	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$950,467	TotalAmt
Program Services	$950,467	ProgramServicesAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Total	$1,021,018	TotalAmt
Program Services	$858,130	ProgramServicesAmt
Management And General	$162,888	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$182,843,462	TotalAmt
Program Services	$162,845,747	ProgramServicesAmt
Management And General	$19,997,715	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,537,657	BOYAmt
EOY	$21,787,362	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,482,363	BOYAmt
EOY	$38,798,982	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,943,445	BOYAmt
EOY	$1,942,901	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,853,939	BOYAmt
EOY	$2,100,539	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$284,555,642	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$118,183,845	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$145,553,031	BOYAmt
EOY	$166,371,797	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$93,897,853	BOYAmt
EOY	$62,361,448	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$644,238	BOYAmt
EOY	$949,528	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$298,912,526	BOYAmt
EOY	$294,312,557	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,442,338	BOYAmt
EOY	$24,781,949	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,337,110	BOYAmt
EOY	$61,572,445	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,050,564	BOYAmt
EOY	$4,680,352	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$90,830,012	BOYAmt
EOY	$91,034,746	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$208,082,214	BOYAmt
EOY	$203,266,296	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$300	BOYAmt
EOY	$11,515	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$208,082,514	BOYAmt
EOY	$203,277,811	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$298,912,526	BOYAmt
EOY	$294,312,557	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,728,418	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,544,336	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$11,215	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$44,122	OtherActivitiesAmt
Total Lobbying Expenditures	$44,122	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	MADONNA REHABILITATION HOSPITAL ("MADONNA") HAS RETAINED THE LOBBYING SERVICES OF A LOCAL LOBBYING FIRM TO MONITOR LEGISLATION AT THE STATE LEVEL IN NEBRASKA IMPACTING NEBRASKA HOSPITALS AND LONG TERM CARE FACILITIES GENERALLY, AND MADONNA SPECIFICALLY. MADONNA IS A MEMBER OF THE NEBRASKA HOSPITAL ASSOCIATION ("NHA"). AS PART OF ITS ACTIVITIES, THE NHA PROVIDES LOBBYING SERVICES AND MONITORS STATE LEGISLATION OF CONCERN TO ITS MEMBERS. ON THE NATIONAL LEVEL, MADONNA IS A MEMBER OF THE AMERICAN REHABILITATION PROVIDERS ASSOCIATION ("AMRPA") AND THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS ("NALTH"). AMONG OTHER SERVICES PROVIDED TO ITS MEMBERS, AMRPA AND NALTH LOBBY AND MONITOR FEDERAL LEGISLATION ON BEHALF OF THEIR MEMBERS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,246,148	OtherCostOrOtherBasisAmt
Book Value	$9,246,148	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,839,206	OtherCostOrOtherBasisAmt
Depreciation	$59,257,590	DepreciationAmt
Book Value	$83,581,616	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,510,467	OtherCostOrOtherBasisAmt
Depreciation	$56,535,911	DepreciationAmt
Book Value	$21,974,556	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,959,821	OtherCostOrOtherBasisAmt
Depreciation	$2,390,344	DepreciationAmt
Book Value	$51,569,477	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$166,371,797	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
457 PLANS	$2,605,370
LEASE LIABILITY	$1,374,982
NON-CURRENT PORTION OF WORK COMP	$700,000

Field	Value	IRS element (for citing)
Total Liability	$4,680,352	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$178,016,329	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$9,544,336	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$9,544,336	RevenueNotReportedAmt
Revenue Subtotal	$187,560,665	RevenueSubtotalAmt
Other Revenues Not Included	$11,215	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$11,215	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$187,571,880	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$182,843,462	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$182,843,462	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$182,843,462	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	MADONNA ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. MADONNA RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2022 AND 2021, MADONNA HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CHANGES IN TEMPORARILY RESTRICTED NET ASSETS 11,215.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,743,473	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,743,473	NetCommunityBenefitExpnsAmt
Total Expense	0.00970	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,508,673	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,508,673	NetCommunityBenefitExpnsAmt
Total Expense	0.03070	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,252,146	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,252,146	NetCommunityBenefitExpnsAmt
Total Expense	0.04040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$267,238	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$267,238	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,757,488	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,757,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$582,396	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$582,396	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$790,176	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$790,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$343,860	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$343,860	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,741,158	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,741,158	NetCommunityBenefitExpnsAmt
Total Expense	0.02080	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,993,304	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,993,304	NetCommunityBenefitExpnsAmt
Total Expense	0.06120	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$529,988	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,718	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$528,270	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$529,988	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,718	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$528,270	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,423,314	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$45,731,877	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$60,172,426	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,440,549	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
MADONNA REHABILITATION HOSPITAL LINCOLN
1	5401 SOUTH STREET	LINCOLN	NE	685062134	WWW.MADONNA.ORG	500005	Yes (X)	ACUTE REHABILITATION HOSPITAL	A
MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN
2	5401 SOUTH STREET	LINCOLN	NE	685062134	WWW.MADONNA.ORG	507001	Yes (X)	LONG TERM CARE HOSPITAL	A
MADONNA REHABILITATION SPECIALTY HOSPITAL OMAHA
3	17500 BURKE STREET	OMAHA	NE	681182244	WWW.MADONNA.ORG	H000129	Yes (X)	LONG TERM CARE HOSPITAL	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.MADONNA.ORG/MY-MADONNA/CHNA.HTML	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MADONNA.ORG/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MADONNA.ORG/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MADONNA.ORG/PATIENT-RESOURCES/PATIENT-FINANCIAL-SERVICES	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	0	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: MADONNA REHABILITATION HOSPITAL LINCOLN, - FACILITY 2: MADONNA REHABILITATION SPECIALTY HOSPITAL LINC, - FACILITY 3: MADONNA REHABILITATION SPECIALTY HOSPITAL OMAH
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	MADONNA USES MULTIPLE AVENUES TO COLLECT DATA REGARDING THE NEEDS OF ITS COMMUNITY, INCLUDING PATIENT SATISFACTION SURVEYS, MEETING MINUTES FROM LOCAL, STATE, REGIONAL AND NATIONAL ORGANIZATIONS, CAPITAL CAMPAIGN REQUESTS AND OTHER DATA SOURCES. THIS IS AN ONGOING PROCESS THAT IS INTEGRATED INTO STRATEGIC PLANNING AND ANNUAL GOAL SETTING. A NEEDS ASSESSMENT QUESTIONNAIRE WAS DISTRIBUTED TO THE COMMUNITY AND THE RESULTS WERE COLLECTED AND ANALYZED IN FISCAL YEAR 2022 (TAX YEAR 2021). THE RESULTS WERE DISCUSSED AT STRATEGIC PLANNING COMMITTEE MEETINGS DURING THE PLANNING PHASES FOR FISCAL YEAR 2023. HOSPITAL LEADERSHIP REGULARLY REVIEWS AND DISCUSSES COMMUNITY NEEDS DURING WEEKLY ADMINISTRATIVE TEAM MEETINGS. MANY OF THESE NEEDS ARE ADDRESSED THROUGH CAPITAL ITEM REQUESTS AND PROGRAMMING UPDATES AND/OR ADDITIONS. ADDITIONALLY, COMMUNITY NEEDS ARE BROUGHT FORTH AND DISCUSSED IN NUMEROUS ORGANIZATIONAL AND INDIVIDUAL MEETINGS AT ALL LEVELS. MADONNA REHABILITATION HOSPITAL EXECUTIVES, MANAGERS AND CLINICIANS ARE ENCOURAGED TO MEET WITH THEIR COUNTERPARTS IN PEER INSTITUTIONS AND TO PURSUE LEADERSHIP POSITIONS IN THEIR AREAS OF EXPERTISE. EACH YEAR, MADONNA STAFF MEMBERS ARE ELECTED AND/OR ARE APPOINTED TO BOARDS, SPECIAL TASK FORCES AND OTHER LEADERSHIP POSITIONS. IN THESE POSITIONS, MADONNA STAFF GETS DIRECT INPUT FROM COLLEAGUES IN AFFILIATED ORGANIZATIONS AND WITH PATIENTS IN THE COMMUNITY SERVED.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	PURPOSE FOR THE PLANTHIS IMPLEMENTATION STRATEGY (STRATEGY) ADDRESSES THE PRIORITIZED COMMUNITY HEALTH CARE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED FOR THE FISCAL 2022 YEAR AND APPROVED BY THE HOSPITAL'S BOARD OF DIRECTORS. THE PLAN ALSO MEETS THE REQUIREMENTS FOR COMMUNITY BENEFIT PLANNING AS SET FORTH IN SECTION 501(R) OF THE INTERNAL REVENUE CODE (THE "CODE") AS PART OF THE AFFORDABLE CARE ACT. THE CHNA FOR MADONNA REHABILITATION HOSPITAL MAY BE REVIEWED IN ITS ENTIRETY AT HTTPS://V4WU8F03-A.AKAMAIHD.NET/UPLOADS-USERS/COMMUNITY_HEALTH_NEEDS_ASSESSMENT_FY2122.PDFAREAS OF FOCUSAS A RESULT OF THE ANALYSIS, THREE AREAS WERE IDENTIFIED AS THE PRIORITIES ON WHICH MADONNA WILL FOCUS FOR THE NEXT THREE YEARS. THESE THREE NEEDS ARE: LINCOLN CAMPUS PHYSICAL PLANT ALIGNMENT WITH CLINICAL NEEDS, LINCOLN CAMPUS CLINICAL AND ANCILLARY SERVICES EXPANSION, AND THE NEBRASKA PHYSIATRY RESIDENCY PROGRAM.PRIORITY #1: ALIGN THE LINCOLN CAMPUS PHYSICAL PLANT WITH SPACE REQUIRED TO MEET THE CLINICAL NEEDS OF A HIGH-ACUITY, SPECIALIZED PATIENT POPULATION (MADONNA'S "COMMUNITY").STRATEGY: EXPAND AND CONSTRUCT PHYSICAL SPACE TO SUPPORT THE SPECIALIZED EQUIPMENT, CUTTING EDGE TECHNOLOGY AND FAMILY INVOLVEMENT REQUIRED FOR PHYSICAL MEDICINE AND REHABILITATION PROGRAMS.PRIORITY #2: EXPAND LINCOLN CAMPUS ON-SITE CLINICAL AND ANCILLARY SERVICES REQUIRED TO MEET THE CLINICAL NEEDS OF A HIGH-ACUITY, SPECIALIZED PATIENT POPULATION (MADONNA'S "COMMUNITY").STRATEGY: IMPLEMENT/EXPAND APPROPRIATE ON-SITE DIAGNOSTIC IMAGING, LABORATORY, TELEMETRY, SPECIALIZED PHYSICIAN SERVICES AND NURSING SKILLS TO IMPROVE PATIENT QUALITY AND OUTCOMES. PRIORITY #3: COMPLETE THE IMPLEMENTATION OF THE NEWLY ESTABLISHED PHYSICAL MEDICINE AND REHABILITATION GRADUATE MEDICAL EDUCATION RESIDENCY TRAINING PROGRAM. STRATEGY: IN COLLABORATION WITH THE UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF MEDICINE (UNMC-COM), GRADUALLY INCREASE THE NUMBER OF RESIDENTS TO THE FOUR YEAR PROGRAM CAPACITY OF 16 RESIDENTS IN 2022. ADDITIONALLY, IN COLLABORATION WITH UNMC-COM, RECRUIT AND FILL ALL REQUIRED FACULTY POSITIONS.NEXT STEPSTHIS IMPLEMENTATION STRATEGY WILL BE EXECUTED OVER THE NEXT THREE YEARS. PERIODIC EVALUATION OF OBJECTIVES FOR EACH IDENTIFIED PRIORITY WILL BE CONDUCTED TO ASSURE THAT MADONNA IS ON TRACK TO COMPLETE THE PLAN AS DESCRIBED. AT THE END OF FISCAL YEAR 2022 MADONNA REHABILITATION HOSPITAL WILL REVIEW THE IMPLEMENTATION STRATEGY AND REPORT ON THE SUCCESS EXPERIENCED THROUGH THE COLLABORATIVE EFFORTS OF IMPROVING THE HEALTH NEEDS OF THE COMMUNITY.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13B:	FPG IS USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF FINANCIAL ASSISTANCE IS GRANTED, IT IS FOR FREE CARE ONLY.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20E:	MADONNA REHABILITATION HOSPITAL OFFERS THE FOLLOWING:1. ASSISTANCE WITH FILLING OUT APPLICATIONS FOR SSI, SSD, MEDICAID AND/OR GENERAL ASSISTANCE2. ADVOCATE FOR THE PATIENT WITH THIRD PARTY PAYERS, GOVERNMENT PAYERS, AND OTHER ENTITIES THAT MAY RESTRICT OR DENY BENEFITS INAPPROPRIATELY3. ASSIST PATIENT/FAMILIES WITH BILLING/PAYMENT QUESTIONS FROM PRIOR STAYS TO HELP ESCALATE RESOLUTION AND ENSURE THAT ALL APPROPRIATE DOCUMENTS HAVE BEEN RETURNED TO THE PAYER FOR CLAIMS ADJUDICATION4. EXTENDED PAYMENT PLANS5. LIABILITY SETTLEMENT PENDING WITHOUT ANY OTHER PAYER SOURCE6. COURTESY CALLS AT TIME OF FINAL NOTICE AND PRIOR TO LISTING FOR COLLECTIONS
FACILITY REPORTING GROUP - A, PART V, SECTION B, LINE 22D:	THE AMOUNT OF FINANCIAL ASSISTANCE IS CONSIDERED TO BE 100% OF CHARGES LESS THE CONTRACTUAL ADJUSTMENT FOR AMOUNTS GENERALLY BILLED (AGB). AGB IS THE WEIGHTED AVERAGE PERCENTAGE AS CALCULATED BY DIVIDING THE SUM OF COMMERCIAL AND MEDICARE CONTRACTUAL ADJUSTMENTS BY THE SUM OF COMMERCIAL AND MEDICARE GROSS CHARGES.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ST JANE DE CHANTAL
2200 S 52ND STREET	LINCOLN	NE	685062134	NURSING FACILITY (NF)
2 - MADONNA THERAPY PLUS
5401 SOUTH STREET	LINCOLN	NE	685062134	OUTPATIENT CLINICS (4)
3 - MADONNA PROACTIVE HEALTH & FITNESS
7111 STEPHANIE LANE	LINCOLN	NE	68516	MEDICAL FITNESS CENTER
4 - REHABILITATION SPECIALISTS
5445 SOUTH STREET	LINCOLN	NE	685062134	INPATIENT & OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE CARE.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC IN THE ANNUAL REPORT AT WWW.MADONNA.ORG/ANNUAL-REPORT
PART I, LINE 7:	MEDICARE LOSSES HAVE INCREASED SIGNIFICANTLY IN RECENT YEARS AND NO LONGER APPROXIMATE THE COSTS INCURRED TO SERVE MEDICARE PATIENTS. THIS IS DUE TO REIMBURSEMENT METHODOLOGY CHANGES THAT HAVE RESULTED IN DECREASING PAYMENTS DESPITE INFLATIONARY GROWTH IN COSTS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,423,314.
PART II, COMMUNITY BUILDING ACTIVITIES:	MADONNA'S MEDICALLY BASED HEALTH AND FITNESS CENTER (MADONNA PROACTIVE) IS FOCUSED ON IMPROVING THE OVERALL WELLNESS OF THE COMMUNITY BY REDUCING CHRONIC RISK FACTORS THROUGH VARIOUS HEALTH PROGRAMS.MADONNA'S ADAPTIVE SPORTS PROGRAM PROVIDES OPPORTUNITIES FOR CHILDREN AND ADULTS WITH ACQUIRED PHYSICAL DISABILITIES TO PARTICIPATE IN RECREATIONAL ACTIVITIES THAT ARE DESIGNED TO PROMOTE PHYSICAL HEALTH AND WELLNESS. THE PROGRAM IS OPEN TO MADONNA INPATIENTS AND OUTPATIENTS AS WELL AS COMMUNITY MEMBERS.
PART III, LINE 2:	GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE HOSPITAL PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THETRANSACTION PRICE ARE RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF CHANGE. FOR THE YEARS ENDED JUNE 30, 2022 AND 2021, NO SIGNIFICANT ADJUSTMENTS TO REVENUE WERE RECOGNIZED DUE TO CHANGES IN ESTIMATES OF IMPLICIT PRICE CONCESSIONS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.
PART III, LINE 3:	THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND ASSESSES THOSE ACCOUNTS THAT WILL TRANSITION TO SELF-PAY PATIENTS BASED ON ANALYSIS OF PAYMENT HISTORY. THOSE TRANSITION ACCOUNTS ARE CONSIDERED IN CONJUNCTION WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT CERTAIN PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN MANY CASES, THE HOSPITAL IS ABLE TO NEGOTIATE PAYMENT SUBSEQUENT TO THE INITIAL DETERMINATION OF THE COLLECTABILITY OF THE ACCOUNT. IN THESE CASES, THE HOSPITAL RECORDS ADDITIONAL CONTRACTUAL ALLOWANCES AND DISCOUNTS. UPON CONSIDERATION OF THE FACT CERTAIN PATIENT ACCOUNTS THAT WERE PREVIOUSLY ALLOWED FOR ARE COLLECTED THROUGH NEGOTIATION AND ADJUSTED AT THE TIME OF PAYMENT, THE HOSPITAL HAS DETERMINED THE PROVISION FOR BAD DEBTS IS NOT SIGNIFICANT TO THE FINANCIAL STATEMENTS AND HAS COMBINED WITH CONTRACTUAL ALLOWANCES AND DISCOUNTS. NO PORTION OF THIS IS CONSIDERED A COMMUNITY BENEFIT.
PART III, LINE 4:	THE HOSPITAL'S FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT. HOWEVER, PAGES 8, 9, AND 10 OF THE ATTACHED FINANCIAL STATEMENTS INCLUDE FOOTNOTES TITLED "PATIENT RECEIVABLES," "PATIENT SERVICE REVENUE, AND "CHARITY CARE."
PART III, LINE 8:	A COST ACCOUNTING SYSTEM IS USED BY MADONNA AND IT ADDRESSES ALL PATIENT SEGMENTS. NONE OF THE SHORTFALL HAS BEEN REPORTED AS COMMUNITY BENEFIT.
PART III, LINE 9B:	ALL CHARGES FOR PATIENTS FOUND ELIGIBLE FOR FINANCIAL ASSISTANCE ARE WAIVED. ONCE THIS ELIGIBILITY IS CONFIRMED, ALL COLLECTION ACTIVITIES ARE DISCONTINUED.
PART VI, LINE 2:	MADONNA USES MULTIPLE AVENUES TO COLLECT DATA REGARDING THE NEEDS OF ITS COMMUNITY, INCLUDING PATIENT SATISFACTION SURVEYS, MEETING MINUTES FROM LOCAL, STATE, REGIONAL AND NATIONAL ORGANIZATIONS, CAPITAL CAMPAIGN REQUESTS AND OTHER DATA SOURCES. THIS IS AN ONGOING PROCESS THAT IS INTEGRATED INTO STRATEGIC PLANNING AND ANNUAL GOAL SETTING. A NEEDS ASSESSMENT QUESTIONNAIRE WAS DISTRIBUTED TO THE COMMUNITY AND THE RESULTS WERE COLLECTED AND ANALYZED IN FISCAL YEAR 2022 (TAX YEAR 2021). THE RESULTS WERE DISCUSSED AT STRATEGIC PLANNING COMMITTEE MEETINGS DURING THE PLANNING PHASES FOR FISCAL YEAR 2023. HOSPITAL LEADERSHIP REGULARLY REVIEWS AND DISCUSSES COMMUNITY NEEDS DURING WEEKLY ADMINISTRATIVE TEAM MEETINGS. MANY OF THESE NEEDS ARE ADDRESSED THROUGH CAPITAL ITEM REQUESTS AND PROGRAMMING UPDATES AND/OR ADDITIONS. ADDITIONALLY, COMMUNITY NEEDS ARE BROUGHT FORTH AND DISCUSSED IN NUMEROUS ORGANIZATIONAL AND INDIVIDUAL MEETINGS AT ALL LEVELS. MADONNA REHABILITATION HOSPITAL EXECUTIVES, MANAGERS AND CLINICIANS ARE ENCOURAGED TO MEET WITH THEIR COUNTERPARTS IN PEER INSTITUTIONS AND TO PURSUE LEADERSHIP POSITIONS IN THEIR AREAS OF EXPERTISE. EACH YEAR, MADONNA STAFF MEMBERS ARE ELECTED AND/OR ARE APPOINTED TO BOARDS, SPECIAL TASK FORCES AND OTHER LEADERSHIP POSITIONS. IN THESE POSITIONS, MADONNA STAFF GETS DIRECT INPUT FROM COLLEAGUES IN AFFILIATED ORGANIZATIONS AND WITH PATIENTS IN THE COMMUNITY SERVED.
PART VI, LINE 3:	THE INSURANCE STATUS OF ALL PATIENTS IS ASSESSED AT THE TIME OF ADMISSION. THE ADMISSIONS PROCESS INCLUDES REGULAR COMMUNICATION WITH PATIENTS AND THEIR FAMILIES, AND INSURANCE STATUS IS A SIGNIFICANT PART OF THIS PROCESS. PATIENTS WITHOUT INSURANCE ARE ASSISTED IN THEIR APPLICATIONS FOR MEDICAID IF IT APPEARS THEY MAY QUALIFY. PATIENTS WHOSE MEDICAID APPLICATIONS ARE PENDING ARE REGULARLY ADMITTED. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS WHO ARE DENIED FOR MEDICAID BUT ARE UNABLE TO PAY, IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 4:	THE DESCRIPTION OF MADONNA REHABILITATION HOSPITAL'S COMMUNITY IN THE 2022 CHNA:MADONNA IS ONE OF THE NATION'S LARGEST SPECIALIZED REHABILITATION HOSPITALS. MADONNA TREATS CHILDREN AND ADULTS WITH COMPLEX DISABILITIES DUE TO TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, STROKE, NEUROLOGICAL DISORDERS, BURNS, PULMONARY DISEASE, AND OTHER DISABLING CONDITIONS. THIS IS MADONNA'S "COMMUNITY" - THE PEOPLE WHO REQUIRE INPATIENT POST-ACUTE PHYSICAL REHABILITATION TO REDUCE OR ELIMINATE IMPAIRMENTS, ACTIVITY LIMITATIONS, AND PARTICIPATION RESTRICTIONS. UNLIKE ACUTE CARE HOSPITALS, MADONNA DOES NOT DEFINE "COMMUNITY SERVED" AS A GEOGRAPHIC AREA, BUT RATHER BY THE PRIORITY POPULATION THAT REQUIRES THESE HIGHLY SPECIALIZED SERVICES. THIS POPULATION INCLUDES PEOPLE OF ALL AGES, GENDER, INCOME LEVEL, AND RACE FROM THROUGHOUT THE COUNTRY.
PART VI, LINE 5:	IN AN EFFORT TO MEET THE GROWING NEEDS OF THE PEDIATRIC POPULATION, MADONNA HAS EXPANDED ITS DESIGNATED AREA AND FEATURES A PEDIATRIC THERAPY GYM, ALLOWING THE YOUNGEST PATIENTS TO RECEIVE AGE-APPROPRIATE REHABILITATION SERVICES. MADONNA HAS ALSO RENOVATED THE KIT SCOTT THERAPEUTIC LEARNING CENTER. THE GOAL OF THE LEARNING CENTER IS TO HELP STUDENTS SUCCESSFULLY TRANSITION BACK TO THEIR HOME AND SCHOOL SETTINGS. MADONNA ALSO PROVIDES SERVICES TO THE COMMUNITY WHICH WOULD OTHERWISE BE UNAVAILABLE OR UNDERSERVED, SUCH AS COMMUNITY MEDICAL TRANSPORTATIONS. MADONNA PHYSICIANS AND THERAPISTS ALSO PRESENT AT NUMEROUS CONFERENCES THROUGHOUT THE YEAR, PROVIDING RECOGNIZED EXPERTISE TO THE COMMUNITY ON REHABILITATION AND OTHER RELEVANT TOPICS. IN ADDITION TO OUR MEDICAL FACILITIES (WHICH INCLUDE LINCOLN'S FIRST MEDICAL FITNESS FACILITY), MADONNA PROVIDES VOLUNTEER AND FINANCIAL SUPPORT TO THE COMMUNITY. MADONNA EMPLOYEES DONATE HUNDREDS OF UNITS OF BLOOD ONSITE EACH YEAR AND SERVE MORE THAN 1,000 MEALS EACH YEAR AT MATT TALBOT KITCHEN. FINANCIAL SUPPORT INCLUDE INDIVIDUAL EMPLOYEE AND ORGANIZATIONAL DONATIONS OF MONEY AND SUPPLIES TO PATIENTS AND THEIR FAMILIES, AREA FOOD BANKS, CHURCHES, MISSIONARIES, SOCIAL SERVICES ORGANIZATIONS, AND HEALTH ASSOCIATIONS. IN SOME CASES, MADONNA ORGANIZES FUNDRAISERS DESIGNED TO BENEFIT THESE ORGANIZATIONS.OUTSIDE ORGANIZATIONS ARE ALSO ALLOWED TO USE MADONNA'S MEETING ROOMS AT NO CHARGE.
PART VI, LINE 6:	MADONNA IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NE

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL DONGILLI
PRESIDENT AND CEO	$637,215	$0	$38,074	$0	$0	$0	$34,550	$0	$3,734	$0	$713,573	$0	$0	$0
ADAM T KAFKA
STAFF PHYSIATRIST	$622,104	$0	$0	$0	$0	$0	$11,576	$0	$7,603	$0	$641,283	$0	$0	$0
JIAXIN TRAN
STAFF PHYSIATRIST	$497,824	$0	$0	$0	$0	$0	$26,898	$0	$1,570	$0	$526,292	$0	$0	$0
MORGAN L LAHOLT
STAFF PHYSIATRIST	$443,738	$0	$0	$0	$0	$0	$9,000	$0	$6,405	$0	$459,143	$0	$0	$0
MATTHEW DRIEWER
STAFF PHYSIATRIST	$390,619	$0	$0	$0	$0	$0	$16,174	$0	$4,775	$0	$411,568	$0	$0	$0
DONALD SCHMIDT
VP OF MEDICAL AFFAIRS/CHIE	$348,824	$0	$13,877	$0	$0	$0	$25,833	$0	$7,051	$0	$395,585	$0	$0	$0
PAUL L KRABBENHOFT
STAFF PHYSIATRIST	$357,391	$0	$0	$0	$0	$0	$21,050	$0	$7,312	$0	$385,753	$0	$0	$0
MICHAEL HEDDERMAN
VP AND CFO	$288,189	$0	$15,781	$0	$0	$0	$25,510	$0	$3,919	$0	$333,399	$0	$0	$0
CHRISTOPHER A LEE
VP AND COO	$274,074	$0	$14,912	$0	$0	$0	$27,445	$0	$6,909	$0	$323,340	$0	$0	$0
SUSAN K KLANECKY
VP PATIENT CARE & ADMIN MRSH-LINCOLN	$254,232	$0	$13,839	$0	$0	$0	$20,253	$0	$8	$0	$288,332	$0	$0	$0
LOU ANN MANSKE
VP HUMAN RESOURCES	$251,357	$0	$14,965	$0	$0	$0	$12,763	$0	-$580	$0	$278,505	$0	$0	$0
DANIEL GRIESS
VP FACILITIES MANAGEMENT S	$232,630	$0	$13,154	$0	$0	$0	$19,374	$0	$852	$0	$266,010	$0	$0	$0
JEFF GROMOWSKY
VP & PHYSICIAN PRACTICE AD	$186,385	$0	$10,099	$0	$0	$0	$23,236	$0	$7,512	$0	$227,232	$0	$0	$0
LYNN R HALLOWELL-GOTTSLEBEN
VP REHABILITATION	$192,038	$0	$10,379	$0	$0	$0	$20,570	$0	$3,059	$0	$226,046	$0	$0	$0
LINDA S SUNDELL-SULLIVAN
VP REFERRAL RELATIONS	$180,724	$0	$9,840	$0	$0	$0	$17,544	$0	$3,157	$0	$211,265	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 5

ALL HOSPITAL MANAGERS, APPROXIMATELY EIGHTY, ARE ELIGIBLE PARTICIPANTS OF THE HOSPITAL'S MANAGEMENT INCENTIVE COMPENSATION PLAN. THE PLAN PROVIDES A STRUCTURE FOR MEASURING THE HOSPITAL'S OVERALL QUALITY AND FINANCIAL PERFORMANCE. THIS PLAN ALLOWS FOR RECOGNITION AND COMPENSATION WHEN THE HOSPITAL'S PERFORMANCE EXCEEDS BASELINE CRITERIA. UPON ACHIEVEMENT OF AN ESTABLISHED QUALITY BENCHMARK, COMPENSATION IS DETERMINED BASED UPON A FIXED FORMULA ENCOMPASSING REVENUES, EARNINGS AND PARTICIPANTS' WAGES. THE FORMULA IS APPLIED EQUALLY TO ALL PARTICIPANTS.

PART I, LINE 6

SEE EXPLANATION FOR LINE 5.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL AUTHORITY NO 2 - OF DOUGLAS COUNTY NE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521440796	BondIssuerEIN
CUSIP	SUPPLINFO	CUSIPNum
Bond Issued	2014-09-25	BondIssuedDt
Issue Price	$86,048,946	IssuePriceAmt
Purpose	CONSTRUCT, EQUIP, AND FURNISH NEW HOSPITAL FACILITY IN OMAHA, NE.	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$20,110,000	RetiredAmt
Total Proceeds	$86,048,946	TotalProceedsAmt
Capitalized Interest	$5,911,150	CapitalizedInterestAmt
Issuance Costs From Proceeds	$989,867	IssuanceCostsFromProceedsAmt
Capital Expenditures	$79,147,929	CapitalExpendituresAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K SUPPLENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	CUSIP NUMBERS INCLUDE THE FOLLOWING: 25923P AA3 25923P AB1 25923P AC9 25923P AD7 25923P AE5 25923P AF2 25923P AS4 25923P AG0 25923P AH8 25923P AJ4 25923P AV7 25923P AK1 25923P AL9 25923P AM7 25923P AN5 25923P AP0 25923P AR6 25923P AT2 25923P AU9 25923P AQ8 PART IV, LINE 2C: REBATE COMPUTATION PERFORMED MAY 15, 2018.	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	VARIOUS OTHER	195	$80,261	COST
Yes (X)	EQUIPMENT	21	$23,634	COST

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	MADONNA REHABILITATION HOSPITAL USES ITS SUPPORTING ORGANIZATION, THE MADONNA FOUNDATION, TO SOLICIT, PROCESS AND SELL NONCASH CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	THE EXECUTIVE COMMITTEE, COMPRISED OF THE CHAIR, VICE CHAIR, SECRETARY AND TREASURER, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 3	FOOD SERVICE OPERATIONS ARE CONTRACTED WITH ARAMARK; AN OUTSIDE MANAGEMENT CORPORATION. NO CURRENT OR FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, OR HIGHEST COMPENSATED EMPLOYEES WERE COMPENSATED BY ARAMARK DURING THE TAX YEAR.
FORM 990, PART VI, SECTION A, LINE 6	THE DIOCESAN HEALTH MINISTRIES, A NEBRASKA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF MADONNA REHABILITATION HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	THE DIOCESAN HEALTH MINISTRIES MAY DESIGNATE ONE MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS, AS PROVIDED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBER, DIOCESAN HEALTH MINISTRIES, HAS FINAL APPROVAL OF: (1) CHANGES IN PHILOSOPHY AND MISSION; (2) MATTERS INVOLVING SALE, LEASE, TRANSFER, EXCHANGE, DISPOSITION, PLEDGE OR ALIENATION OF REAL PROPERTY IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000.00); (3) MATTERS INVOLVING PURCHASE AND/OR ENCUMBRANCE WITH DEBT, IN ANY WAY, OF REAL PROPERTY IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000.00); (4) COMMUNITY MEMBERS NOMINATED TO SERVE ON THE BOARD OF DIRECTORS; (5) AMENDMENTS, ALTERATIONS OR CHANGES IN THE ARTICLES OF INCORPORATION OR BYLAWS; (6) THE ANNUAL CAPITAL BUDGET; (7) CEO SELECTION; (8) MERGER, CONSOLIDATION, DISSOLUTION. THE BOARD OF DIRECTORS APPROVES AND FORWARDS TO THE MEMBER, FOR ITS REVIEW THE ANNUAL REPORT AND THE OPERATING BUDGET.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING THE ORGANIZATION'S FORM 990, THE CHIEF FINANCIAL OFFICER PRESENTS THE COMPLETED FORM 990 AND AN EXECUTIVE OVERVIEW OF THE FORM 990 TO THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED MEETING. THE FINANCE AND AUDIT COMMITTEE APPROVES A MOTION TO ACCEPT AND FORWARD TO THE BOARD OF DIRECTORS THE FORM 990. SUBSEQUENTLY, THE FINANCE AND AUDIT COMMITTEE BOARD CHAIRPERSON (THE ORGANIZATION'S BOARD TREASURER) PRESENTS THE FORM 990 TO THE BOARD OF DIRECTORS. UPON BOARD RESOLUTION TO ACCEPT THE FORM 990 THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION ANNUALLY DISTRIBUTES ITS CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO DIRECTORS, OFFICERS AND KEY EMPLOYEES. THE RESPONSES ARE REVIEWED BY THE BOARD OF DIRECTORS AND ITS COUNSEL, AND ANY APPROPRIATE ACTION IS TAKEN, BASED UPON THOSE RESPONSES AND THE SUBSEQUENT REVIEW.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMPENSATION COMMITTEE WILL MAKE RECOMMENDATIONS FOR THE ANNUAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO), AND CHIEF FINANCIAL OFFICER (CFO). THE MADONNA EXECUTIVE COMPENSATION PLAN REQUIRES NATIONAL SALARY BENCHMARKS BE USED FOR THE CEO AND CFO POSITIONS. -BASE SALARY: THE EXECUTIVE COMPENSATION COMMITTEE ANNUALLY DETERMINES THE CEO'S BASE SALARY BY REVIEWING 990 DATA FROM NONPROFIT REHABILITATION HOSPITALS AT A NATIONAL LEVEL AS WELL AS OTHER RELEVANT DATA. IDEALLY, THE DATA FROM NONPROFIT REHABILITATION HOSPITALS SHOULD BE FOR HOSPITALS WITHIN APPROXIMATELY PLUS OR MINUS 50% OF MADONNA'S GROSS REVENUES RECOGNIZING A NEED FOR A MINIMUM OF AT LEAST EIGHT COMPARABLE SIZED INSTITUTIONS. THE ANALYSIS INCLUDES REPORTING THE SALARIES FOR BENCHMARK FIRMS (FROM 990 DATA) REPORTED BY THE VICE PRESIDENT HUMAN RESOURCES. OTHER SOURCES OF INFORMATION AND DATA MAY BE USED AS NEEDED FROM THIRD PARTY SALARY SURVEYS IN ADDITION TO OR IN LIEU OF 990 DATA AS DEEMED NECESSARY FROM YEAR TO YEAR. THE ANNUAL COMPENSATION ADJUSTMENT FOR THE CEO AND CFO IS TO REPRESENT BOTH THE MARKET CHANGES AND THE MERIT PERFORMANCE.
FORM 990, PART VI, SECTION C, LINE 19	SUMMARIZED FINANCIAL INFORMATION IS MADE AVAILABLE TO THE PUBLIC ON AN ANNUAL BASIS THROUGH THE PUBLICATION OF THE HOSPITAL'S PUBLIC ANNUAL REPORT. IN ADDITION, THE PUBLIC ANNUAL REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE. THE HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 15,880,888. MANAGEMENT AND GENERAL EXPENSES 1,543,707. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,424,595. MEDICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 4,177,965. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,177,965. MAINTENANCE: PROGRAM SERVICE EXPENSES 85,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,250.
FORM 990, PART XI, LINE 9:	CHANGE IN TEMP RESTRICTED NET ASSETS AND AMOUNT RECOGNIZED FROM PRIOR YEAR 11,215.
FORM 990, PART XII, LINE 2C:	THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART XII, LINE 3B:	MADONNA RECEIVED CARES RELIEF FUNDING THAT WILL BE TREATED AS A FEDERAL AWARD SUBJECT TO A SINGLE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MADONNA FOUNDATION
5401 SOUTH STREET	LINCOLN	NE	68506	237159940	FUNDRAISING SUPPORT	NE	501(C)(3)	LINE 12B, II	MADONNA REHABILITATION HOSPITAL	Yes (1)
MADONNA INC
5401 SOUTH STREET	LINCOLN	NE	68506	363397284	HEALTHCARE MANAGEMENT	NE	501(C)(3)	LINE 12B, II	MADONNA REHABILITATION HOSPITAL	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MADONNA FOUNDATION
L	$163,000	FINANCIAL RECORD
MADONNA FOUNDATION
M	$1,246,651	FINANCIAL RECORD
MADONNA FOUNDATION
P	$773,276	FINANCIAL RECORD
MADONNA INC
S	$23,747	FINANCIAL RECORD
MADONNA FOUNDATION
C	$1,855,538	FINANCIAL RECORD