CHILDRENS HOSPITAL & MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL & MEDICAL CENTER (EIN 47-0379754)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202203159349305150
- 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 I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T13:09:09-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 NORTH 96TH STREET SUITE 300 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470379754 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL & MEDICAL | BusinessNameLine1Txt |
| Business Name Line2 | CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 4029556262 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 DODGE STREET | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68114 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY HATCHER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4029556262 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | AMY | PersonFirstNm |
| Person Last | HATCHER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PHILIP BARTLETT | PreparerPersonNm |
| PTIN | P01299075 | PTIN |
| Phone | 6123055000 | PhoneNum |
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 | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHANDA CHACON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 DODGE STREET | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $561,378,849 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHILDRENSOMAHA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OCHILDREN'S HOSPITAL & MEDICAL CENTER DELIVERS EXTRAORDINARY CARE TO CHILDREN, EDUCATES HEALTH CARE PROFESSIONALS, AND PROMOTES PEDIATRIC RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 3624 | TotalEmployeeCnt |
| Total Volunteers | 85 | TotalVolunteersCnt |
| Total Gross UBI | $33,971 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $4,530 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,733,019 | PYContributionsGrantsAmt |
| CY Contributions Grants | $52,012,177 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $453,312,839 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $492,873,084 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$630,962 | PYInvestmentIncomeAmt |
| CY Investment Income | $215,381 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,126,356 | PYOtherRevenueAmt |
| CY Other Revenue | $15,051,567 | CYOtherRevenueAmt |
| PY Total Revenue | $486,541,252 | PYTotalRevenueAmt |
| CY Total Revenue | $560,152,209 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,907,407 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,882,407 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $236,699,049 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $254,198,016 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,457 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $185,281,876 | PYOtherExpensesAmt |
| CY Other Expenses | $215,989,404 | CYOtherExpensesAmt |
| PY Total Expenses | $434,888,332 | PYTotalExpensesAmt |
| CY Total Expenses | $482,069,827 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $51,652,920 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $78,082,382 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $816,142,903 | TotalAssetsBOYAmt |
| Total Assets EOY | $914,047,518 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $405,370,024 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $388,882,674 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $410,772,879 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $525,164,844 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE LIFE OF EVERY CHILD - THROUGH EXCEPTIONAL CARE, ADVOCACY, RESEARCH AND EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $389,938,385 | ExpenseAmt |
| Grant | $11,882,407 | GrantAmt |
| Revenue | $507,130,776 | RevenueAmt |
| Desc | SEE SCHEDULE O THE HOSPITAL OPERATES A 225 LICENSED-BED PEDIATRIC HOSPITAL, WHICH INCLUDES SEVEN ACTIVE SURGICAL SUITES, TWO HYBRID HEART CATHETERIZATION LABS, AN OUTPATIENT SURGERY CENTER, A HEART TRANSPLANT PROGRAM, A PEDIATRIC INTENSIVE CARE UNIT (PICU) AND A FETAL CARE CENTER THAT FOCUSES ON THE COORDINATION OF CARE FOR BABIES DIAGNOSED WITH COMPLEX CONGENITAL DEFECTS BEFORE BIRTH. 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 FOUR SPECIALTIES INCLUDING CARDIOLOGY AND HEART SURGERY, PULMONOLOGY AND LUNG SURGERY, GASTROENTEROLGY AND GI SURGERY, AND UROLOGY. CHILDREN'S SPECIALTY PEDIATRIC CENTER OFFERS MORE THAN 100 SPECIALTY AND SUB-SPECIALTY CLINICS, PROVIDING DIAGNOSTICS, TREATMENT, AND THERAPY. IN ADDITION, CHILDREN'S 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 | $389,938,385 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | 0 | 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 | 228 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3624 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | Yes (1) | 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 | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | 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 | AMY HATCHER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4029556262 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 DODGE STREET | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68114 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHANDA CHACON | |||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $922,043 | $0 | $181,688 | ||
| DIANE DUREN | |||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARGARET HERSHISER | |||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SAMANTHA MOSSER | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM GREISCH | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRAD BRABEC MD | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRADLEY BRITIGAN MD | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOLEEN DAVID | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE DIAMOND | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT DUNLAY MD | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN FAHEY | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN JENKINS | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVE LINDSAY | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL ROBINO | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KENNY ROCKER | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| AMY RYAN | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STACY SCHOLTZ | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RYAN SEWELL MD | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAYESH THAKKER MD | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN WEGNER | |||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER MALONEY MD | |||||||||
| EVP CCO & PIC | 40.00 | 0.00 | Yes (X) | $1,127,753 | $0 | $123,531 | |||
| KATHY ENGLISH | |||||||||
| EVP COO & CNO | 40.00 | 0.00 | Yes (X) | $934,654 | $0 | $33,184 | |||
| AMY HATCHER | |||||||||
| EVP & CFO | 39.00 | 1.00 | Yes (X) | $769,940 | $0 | $101,355 | |||
| AMY BONES | |||||||||
| SVP & GENERAL COUNSEL | 40.00 | 0.00 | Yes (X) | $600,806 | $0 | $76,419 | |||
| JEROLD VUCHAK | |||||||||
| SVP CHIEF INFO OFFICER | 40.00 | 0.00 | Yes (X) | $599,710 | $0 | $70,234 | |||
| JANEL ALLEN | |||||||||
| SVP & CHIEF PEOPLE OFFICER | 40.00 | 0.00 | Yes (X) | $538,360 | $0 | $76,147 | |||
| ERIN WILLIS-LOUCKS MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $789,246 | $0 | $30,450 | Yes (X) | |||
| JOHN WILLIAMS | |||||||||
| VP STRATEGIC PLANNING | 40.00 | 0.00 | $595,212 | $0 | $51,653 | Yes (X) | |||
| JAMIE DRAKE MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $486,155 | $0 | $19,195 | Yes (X) | |||
| MALINDA BENDER MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $471,471 | $0 | $19,630 | Yes (X) | |||
| NICOLE VILLARREAL MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $436,233 | $0 | $36,780 | Yes (X) | |||
| RICHARD AZIZKHAN MD | |||||||||
| FORMER PRES/CEO THRU 8/16/19 | 0.00 | 0.00 | $677,030 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,948,613 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $820,266 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 332 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| UNMC PHYSICIANS - RPS | |||||
| 983135 NEBRASKA MEDICAL CENTER | OMAHA | NE | 68198 | PATHOLOGY SERVICES | $1,549,864 |
| CHOICE SOLUTIONS LLC | |||||
| 7015 COLLEGE BLVD STE 300 | OVERLAND PARK | KS | 66211 | IT SERVICES | $894,503 |
| BAKER TILLY US LLP | |||||
| 4807 INNOVATE LN PO BOX 7398 | MADISON | WI | 53707 | CONSULTING SERVICES | $586,040 |
| INTRADIAGNOSTICS LLC | |||||
| 24 S WEBER ST STE 200 | COLORADO SPRINGS | CO | 80903 | EEG MONITORING | $501,115 |
| LAB LOGISTICS LLC | |||||
| 30 RAILROAD AVE | WEST HAVEN | CT | 06516 | LABS - OUTSOURCED | $403,869 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $47,785,607 | RelatedOrganizationsAmt |
| Government Grants | $4,165,690 | GovernmentGrantsAmt |
| All Other Contributions | $60,880 | AllOtherContributionsAmt |
| Total Contributions | $52,012,177 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $492,873,084 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $492,873,084 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $492,873,084 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,437,521 | TotalRevenueColumnAmt |
| Exclusion | $1,437,521 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $793,875 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $793,875 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $793,875 | TotalRevenueColumnAmt |
| Exclusion | $793,875 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,226,640 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,222,140 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,222,140 | TotalRevenueColumnAmt |
| Exclusion | -$1,222,140 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MANAGEMENT FEE INCOME | 541610 | $7,814,448 | $7,814,448 | |
| CAFETERIA INCOME | 900099 | $1,611,674 | $1,611,674 | |
| CONTRACT SERVICES | 541900 | $1,268,629 | $1,234,658 | $33,971 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,562,941 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,562,941 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,257,692 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $560,152,209 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $507,096,805 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $33,971 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,009,256 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,190,774 | TotalAmt |
| Program Services | $4,190,774 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,691,633 | TotalAmt |
| Program Services | $7,691,633 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,239,889 | TotalAmt |
| Management And General | $6,239,889 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,410,038 | TotalAmt |
| Program Services | $168,597,318 | ProgramServicesAmt |
| Management And General | $25,812,720 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,685,330 | TotalAmt |
| Program Services | $9,234,293 | ProgramServicesAmt |
| Management And General | $1,451,037 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,511,247 | TotalAmt |
| Program Services | $22,785,355 | ProgramServicesAmt |
| Management And General | $6,725,892 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,351,512 | TotalAmt |
| Program Services | $11,642,100 | ProgramServicesAmt |
| Management And General | $1,709,412 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,991 | TotalAmt |
| Program Services | $309,083 | ProgramServicesAmt |
| Management And General | $53,908 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,070 | TotalAmt |
| Program Services | $970 | ProgramServicesAmt |
| Management And General | $382,100 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,360 | TotalAmt |
| Program Services | $50 | ProgramServicesAmt |
| Management And General | $88,310 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,516,790 | TotalAmt |
| Program Services | $29,583,327 | ProgramServicesAmt |
| Management And General | $12,933,463 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,952,778 | TotalAmt |
| Program Services | $4,853 | ProgramServicesAmt |
| Management And General | $2,947,925 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,903,660 | TotalAmt |
| Program Services | $70,501,481 | ProgramServicesAmt |
| Management And General | $1,400,784 | ManagementAndGeneralAmt |
| Fundraising | $1,395 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,261,669 | TotalAmt |
| Program Services | $14,802,584 | ProgramServicesAmt |
| Management And General | $459,085 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,770,642 | TotalAmt |
| Program Services | $2,365,875 | ProgramServicesAmt |
| Management And General | $7,404,767 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289,637 | TotalAmt |
| Program Services | $239,231 | ProgramServicesAmt |
| Management And General | $50,406 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,779,161 | TotalAmt |
| Program Services | $4,779,161 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,482,672 | TotalAmt |
| Program Services | $28,482,672 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,809,042 | TotalAmt |
| Program Services | $11,852,505 | ProgramServicesAmt |
| Management And General | $14,956,537 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,264,828 | TotalAmt |
| Management And General | $1,264,828 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BUILDING & GROUND MAINT | $3,065,207 | $82,541 | $2,982,666 |
| EQUIPMENT MAINTENANCE | $2,201,388 | $714,443 | $1,486,945 |
| BANK & SERVICE FEES | $1,358,712 | $187,138 | $1,171,574 |
| DELIVERY / COURIER | $1,095,332 | $1,082,292 | $13,040 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,403,465 | TotalAmt |
| Program Services | $808,706 | ProgramServicesAmt |
| Management And General | $2,594,697 | ManagementAndGeneralAmt |
| Fundraising | $62 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,069,827 | TotalAmt |
| Program Services | $389,938,385 | ProgramServicesAmt |
| Management And General | $92,129,985 | ManagementAndGeneralAmt |
| Fundraising | $1,457 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,249,294 | BOYAmt |
| EOY | $12,465,391 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,659,803 | BOYAmt |
| EOY | $56,831,028 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,047,323 | BOYAmt |
| EOY | $1,687,264 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,933,053 | BOYAmt |
| EOY | $108,164,031 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,599,314 | BOYAmt |
| EOY | $7,551,899 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,650,955 | BOYAmt |
| EOY | $11,494,604 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $876,537,362 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $249,480,543 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $526,406,183 | BOYAmt |
| EOY | $627,056,819 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,198,763 | BOYAmt |
| EOY | $38,954,331 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,659,059 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,019,156 | BOYAmt |
| EOY | $49,842,151 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $816,142,903 | BOYAmt |
| EOY | $914,047,518 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,284,072 | BOYAmt |
| EOY | $97,325,050 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,999 | BOYAmt |
| EOY | $63,015 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,689,926 | BOYAmt |
| EOY | $251,697,075 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,191,451 | BOYAmt |
| EOY | $3,724,917 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,748,576 | BOYAmt |
| EOY | $36,072,617 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,370,024 | BOYAmt |
| EOY | $388,882,674 | 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 | $408,725,556 | BOYAmt |
| EOY | $523,477,580 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,047,323 | BOYAmt |
| EOY | $1,687,264 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,772,879 | BOYAmt |
| EOY | $525,164,844 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $816,142,903 | BOYAmt |
| EOY | $914,047,518 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $78,082,382 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $69,730 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $36,239,853 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $88,360 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $88,360 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $481,981,467 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $482,069,827 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $69,794 | CurrentYearMinus3Amt |
| Current Year Minus2 | $84,126 | CurrentYearMinus2Amt |
| Current Year Minus1 | $85,016 | CurrentYearMinus1Amt |
| Current Year | $88,360 | CurrentYearAmt |
| Total | $327,296 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $99,960,929 | BeginningYearBalanceAmt |
| Contributions | $12,775,597 | ContributionsAmt |
| Investment Earnings Or Losses | $1,571,110 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $150,207 | GrantsOrScholarshipsAmt |
| Other Expenditures | $47,101,741 | OtherExpendituresAmt |
| End Year Balance | $67,055,688 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $92,781,994 | BeginningYearBalanceAmt |
| Contributions | $8,659,064 | ContributionsAmt |
| Investment Earnings Or Losses | $650,201 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $133,073 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,997,257 | OtherExpendituresAmt |
| End Year Balance | $99,960,929 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $88,066,716 | BeginningYearBalanceAmt |
| Contributions | $5,785,740 | ContributionsAmt |
| Investment Earnings Or Losses | $768,122 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,838,583 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| End Year Balance | $92,781,995 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $80,139,900 | BeginningYearBalanceAmt |
| Contributions | $8,481,002 | ContributionsAmt |
| Investment Earnings Or Losses | $127,409 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $681,595 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $88,066,716 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $71,680,964 | BeginningYearBalanceAmt |
| Contributions | $9,780,310 | ContributionsAmt |
| Investment Earnings Or Losses | $338,557 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,659,931 | GrantsOrScholarshipsAmt |
| End Year Balance | $80,139,900 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.59300 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.13200 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.27500 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,461,514 | OtherCostOrOtherBasisAmt |
| Book Value | $36,461,514 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $609,608,894 | OtherCostOrOtherBasisAmt |
| Depreciation | $140,594,921 | DepreciationAmt |
| Book Value | $469,013,973 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,317,379 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,549,928 | DepreciationAmt |
| Book Value | $5,767,451 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,065,063 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,002,283 | DepreciationAmt |
| Book Value | $78,062,780 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,084,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $333,411 | DepreciationAmt |
| Book Value | $37,751,101 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $627,056,819 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLE | $18,819,428 |
| RIGHT OF USE ASSET - OPERATING, NET | $14,587,746 |
| RIGHT OF USE ASSET - FINANCING, NET | $5,854,984 |
| INVESTMENT IN DEFERRED COMPENSATION | $7,014,172 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $3,565,821 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $49,842,151 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE OBLIGATION - OPERATING | $12,728,292 |
| LEASE OBLIGATION - FINANCING | $5,905,168 |
| DEFERRED COMPENSATION LIABILITY | $7,014,172 |
| INTERCOMPANY PAYABLE | $4,209,414 |
| SWAP LIABILITY | $3,470,528 |
| CURRENT PORTION OF LEASE PAYMENTS-OPERATING | $2,020,932 |
| CURRENT PORTION OF LEASE PAYMENTS-FINANCING | $724,111 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $36,072,617 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT IS ADMINISTERED BY THE CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION ON BEHALF OF AND FOR THE BENEFIT OF CHILDREN'S HOSPITAL & MEDICAL CENTER. 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 2021 OR 2020, THE COMPANY DID NOT RECORD ANY AMOUNTS RELATED TO UNCERTAIN TAX POSITIONS OR ANY ACCRUED INTEREST AND PENALTIES. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| 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 | $3,303,599 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,303,599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $198,195,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $131,090,241 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,105,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $201,499,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $131,090,241 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $70,409,094 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14610 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,500,719 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,573,353 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,927,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,607,617 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,429,735 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,177,882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04600 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $192,620,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,731,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,889,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14290 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $993,502 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $993,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,583,684 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,741 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,511,943 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $223,306,518 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,806,174 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $96,500,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.20020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $424,805,853 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $257,896,415 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $166,909,438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.34630 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $2,935,356 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $103,265 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $293,446 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$190,181 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 DODGE STREET | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CHILDRENSOMAHA.ORG | WebsiteAddressTxt |
| State License | 260005 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| 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 | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.CHILDRENSOMAHA.ORG/CHNA | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| 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 | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHILDREN'S HOSPITAL & MEDICAL CENTER | PART V, SECTION B, LINE 5: AS PART OF THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONDUCTED ON BEHALF OF CHILDREN'S HOSPITAL & MEDICAL CENTER, 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 CENTER | PART V, SECTION B, LINE 6A: BOYS TOWN NATIONAL RESEARCH HOSPITAL |
| CHILDREN'S HOSPITAL & MEDICAL CENTER | PART 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 CENTER | PART 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 WILL BE 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 CENTER | PART 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 CENTER | PART 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 SERVICE PROVIDED. 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 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 CENTER FOR THE CHILD & COMMUNITY TO DEVELOP A NEW IMPLEMENTATION STRATEGY PLAN (ISP) FOR 2022-2024 TO UNDERTAKE MEASURES TO MEET THE HEALTH NEEDS OF THE COMMUNITY.SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY 2021BASED ON THE DATA OBTAINED AND SUMMARIZED IN THE CHILD & ADOLESCENT CHNA, THE FOLLOWING AREAS OF OPPORTUNITY REPRESENT THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADOLESCENTS IN THE COMMUNITY. BASED ON THE DATA OBTAINED AND SUMMARIZED IN THE CHILD & ADOLESCENT CHNA, THE FOLLOWING AREAS OF OPPORTUNITY REPRESENT THE SIGNIFICANT HEALTH NEEDS OF CHILDREN AND ADOLESCENTS IN THE COMMUNITY: ACCESS TO HEALTH SERVICES: - DIFFICULTY ACCESSING CHILDREN'S HEALTHCARE: APPOINTMENT AVAILABILITY LACK OF TRANSPORTATION - RELIANCE ON THE INTERNET FOR HEALTH CARE INFORMATION INJURY & VIOLENCE: - MORTALITY, AGE 5-9 AND 10-14 - BIKE HELMET USAGE - CHILD HAS HAD BRAIN INJURY/CONCUSSION - CHILDREN EXPOSED TO NEIGHBORHOOD VIOLENCE - CHILDREN FEELING UNSAFE AT SCHOOL OR GOING TO/FROM SCHOOL MENTAL/BEHAVIORAL HEALTH: - DEPRESSION AND ANXIETY: SYMPTOMS OF/DIAGNOSED DEPRESSION SUICIDE ATTEMPTS [HIGH SCHOOLERS] DIAGNOSED ANXIETY CHRONIC WORRYING CHILD HAS DIFFICULTY SLEEPING - LIVED WITH SOMEONE WITH SERIOUS MENTAL HEALTH ISSUES - CHILDREN NEEDING MENTAL HEALTH SERVICES - CHILDREN RECEIVING TREATMENT/COUNSELING NUTRITION, PHYSICAL ACTIVITY, & WEIGHT: - FREQUENCY OF FAST FOOD CONSUMPTION - EATING MEALS AS A FAMILY - SCREEN TIME - OVERWEIGHT & OBESITY ORAL HEALTH: - REGULAR DENTAL CARE - DIFFICULTY ACCESSING DENTAL CARE PARENTING EDUCATION & FAMILY SUPPORT - FAMILY STRENGTH - FAMILY TEAMWORK - FAMILY RESILIENCE - CHILD HAS AN ADULT FOR GUIDANCE OUTSIDE THE HOUSEHOLD PEDIATRIC CHRONIC CONDITIONS - PREVALENCE OF DIABETES/HIGH BLOOD SUGAR - CONDITION REQUIRING THERAPY PHYSICAL ENVIRONMENT - NEIGHBORHOOD HAS RUNDOWN HOUSING - NEIGHBORHOOD HAS SIGNS OF VANDALISM - EXPOSURE TO ENVIRONMENTAL TOBACCO SMOKE - CHILDREN'S USE OF NEIGHBORHOOD PARKS PRENATAL & INFANT HEALTH - INFANT MORTALITY - ACCEPTANCE OF RECOMMENDED CHILDHOOD VACCINES SEXUAL HEALTH: - GONORRHEA INCIDENCE [CHILDREN/ADULTS] - CHLAMYDIA INCIDENCE [CHILDREN/ADULTS] TOBACCO, ALCOHOL & OTHER DRUGS: - MEMBER OF HOUSEHOLD SMOKES - DRINKING & DRIVING [HIGH SCHOOLERS] - LIFETIME ILLICIT DRUG USE [HIGH SCHOOLERS] VISION, HEARING, & SPEECH CONDITIONS: - HEARING PROBLEMS - RECENT EYE EXAMSSTRATEGIC PLANNING AND IMPLEMENTATION STRATEGY PLAN ALIGNMENT 2022-2024CHILDREN'S BEGAN A FIVE-YEAR STRATEGIC PLANNING EFFORT IN 2019. AFTER GATHERING FEEDBACK FROM MORE THAN 1500 PARTICIPANTS THROUGH SURVEYS AND STAKEHOLDER SESSIONS, THE EXISTING MISSION WAS AFFIRMED: TO IMPROVE THE LIFE OF EVERY CHILD THROUGH EXCEPTIONAL CARE, ADVOCACY, RESEARCH AND EDUCATION (CARE). CHILDREN'S 2021-2025 STRATEGIC PLAN WAS RELEASED IN 2020 AND DETAILED FIVE GOALS AND 17 KEY STRATEGIES. ONE OF THE GOALS FOCUSED ON THE WORK TO BE DONE IN THE COMMUNITY TO "CHAMPION THE NEEDS AND WELFARE OF CHILDREN." THIS GOAL HAS THREE STRATEGIES: 1) PROMOTE CHILD AND YOUTH ADVOCACY; 2) IMPACT EACH STAGE OF THE CHILD'S LIFE IN COLLABORATION WITH FAMILIES, CHILD-SERVING AGENCIES AND OTHER EXTERNAL PARTNERS; 3) ENSURE HEALTH EQUITY FOR UNDERREPRESENTED POPULATION. 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 ISP CONCENTRATES ON: 1. DISCOVERY & RESEARCH - COLLECTING DATA REGARDING POPULATIONS IMPACTED, INVENTORYING 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. 2. ADVOCACY - ASSESSING CURRENT AND PROPOSED POLICIES AND LEGISLATION AFFECTING EACH IMPACT AREA AND IDENTIFYING KEY PARTNERS AND CHAMPIONS FOR THE WORK. 3. 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, 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 ARE CURRENTLY EXPLORING THE LANDSCAPE TO BROADEN EACH ACTION PLAN TO INCLUDE STRATEGIES AIMED AT: 1. 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. 2. COMMUNITY PARTNERS REPRESENTING THE INTERESTS OF THOSE AFFECTED AND POSITIONED TO MAKE REAL IMPACT. 3. BEST METHODS TO COORDINATE WORK INTERNALLY AND WITHIN 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.2019-2021 ISP WRAP UPEVALUATION OF THE 2019-2021 ISP CAN BE FOUND IN THE APPENDIX OF THE 2021 CHNA, DETAILING PROGRESS FOR THE IDENTIFIED PRIORITIES: ACCESS TO HEALTH SERVICES; MENTAL AND BEHAVIORAL HEALTH; NUTRITION, PHYSICAL ACTIVITY AND OBESITY; AND SEXUAL HEALTH. ACCESSED HERE: WWW.CHILDRENSOMAHA.ORG/CHNA |
| PART V, SECTION B, LINE 11 | BELOW ARE KEY HIGHLIGHTS FROM THE 2019-2021 ISP THAT WILL BE LEVERAGED FOR THE 2022-2024 ISP: - ACCESS TO HEALTH CARE SERVICES: A DEFINITION AND FRAMEWORK FOR "ACCESS TO CARE" WAS ADOPTED AND UTILIZED IN A COMMUNITY ENGAGED ANALYSIS (CEA). PROGRESS WAS MADE ADDRESSING THREE BARRIERS IDENTIFIED THROUGH THE CEA PROCESS INCLUDING: DISSEMINATION OF EARLY DENTAL HEALTH STARTER KITS; IMPLEMENTATION OF UNITE NEBRASKA'S BI-DIRECTIONAL REFERRAL PLATFORM IN THE CARE COORDINATION DEPARTMENT, AND THE COMPLETION OF A LANDSCAPE ANALYSIS DETAILING THE MENTAL AND BEHAVIORAL HEALTH CONTINUUM OF CARE FOR CHILDREN & YOUTH. - MENTAL AND BEHAVIORAL HEALTH: THE PATIENT ASSISTANCE TEAM (PATCH) AT CHILDREN'S PILOTED AND EXPANDED THE PROGRAM OVER THE 2019-2021 PERIOD, BUILDING MOMENTUM FOR GREATER SPREAD AND SCALE INTO 2022. TELEHEALTH AND TELE-MENTORING SERVICES ALSO EXPANDED SIGNIFICANTLY DURING 2020-2021 AS HEALTH CARE CAPACITY SHIFTED TO INCREASE ACCESS TO DIGITAL HEALTH SERVICES. THE "CONTINUUM OF MENTAL HEALTH CARE FOR CHILDREN & YOUTH" TOOL (NOTED ABOVE IN THE ACCESS TO HEALTH CARE SERVICES) WAS INTEGRATED INTO CHILD AND ADOLESCENT PSYCHIATRY ONBOARDING TRAINING PROGRAMS. - NUTRITION, PHYSICAL ACTIVITY AND OBESITY: THE 2021 PREVENTING CHILDHOOD OBESITY (PCO) COMMUNITY GRANT PROGRAM'S REQUEST FOR PROPOSAL (RFP) WAS UPDATED TO INCLUDE A FOCUS ON HEALTH EQUITY FOR THE 2021/2022 CYCLE, RESULTING IN A NUMBER OF COMMUNITY-BASED ORGANIZATIONS FOCUSING ON FOOD SECURITY PROJECTS. GONOODLE WAS OFFERED STATEWIDE STARTING IN 2021, AND IT CONTINUES TO BE A HELPFUL AND RELEVANT TOOL FOR TEACHERS AND PARENTS. THE NEBRASKA DOUBLE UP FOOD BUCKS PROGRAM EXPANDED IN 2021 THROUGH A ROBUST COLLABORATION FOCUSED ON INCREASING ACCESS TO HEALTHY FOODS. SEXUAL HEALTH, KEY HIGHLIGHTS: IN 2021, CHILDREN'S OPENED THE ADOLESCENT AND YOUNG ADULT CLINIC WITH NEBRASKA'S ONLY TWO BOARD CERTIFIED ADOLESCENT HEALTH SPECIALISTS. IN PARTNERSHIP WITH THE WOMEN'S FUND OF OMAHA AND THE ADOLESCENT HEALTH PROJECT, CHILDREN'S PHYSICIANS IMPLEMENTED A NEW WEB-BASED PLATFORM, ACCESS GRANTED, CONNECTING ADOLESCENTS TO PROVIDERS FOR REPRODUCTIVE HEALTH CARE. |
| PART V, SECTION B, LINE 10A | HTTPS://WWW.CHILDRENSOMAHA.ORG/WP-CONTENT/UPLOADS/2022/05/IMPLEMENTATION_STRATEGY_PLAN_EVERSION.PDF |
| PART V, SECTION B, LINE 16 | LINE 16A: HTTPS://WWW.CHILDRENSOMAHA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL RECORDS/FINANCIAL-ASSISTANCE/LINE 16B: HTTPS://WWW.CHILDRENSOMAHA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL RECORDS/FINANCIAL-ASSISTANCE/LINE 16C: HTTPS://WWW.CHILDRENSOMAHA.ORG/HOSPITAL-EXPERIENCE/BILLING-INSURANCE-MEDICAL RECORDS/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LINCOLN CLINIC | ||||
| 5930 VANDERVOORT DR STE A | LINCOLN | NE | 68516 | PEDIATRIC CLINIC |
| 2 - CAROLYN SCOTT RAINBOW HOUSE | ||||
| 7825 FARNAM DRIVE | OMAHA | NE | 68114 | NO-COST ACCOMMODATIONS FOR FAMILIES OF PATIENTS |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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-PRICE SERVICES 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 2021 COMMUNITY BENEFIT REPORT INCLUDE $3.3 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 CHILDREN'S HOSPITAL & MEDICAL CENTER'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 7G:THE ORGANIZATION DID NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. |
| 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 2021 MEDICARE COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST VALUE.BAD DEBT EXPENSE AT 100% CHARGE VALUE $6,834,357 MEDICARE COST TO CHARGE RATIO X .4295BAD DEBT EXPENSE AT COST $2,935,356 |
| 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 2021 AND REFLECTS THE EFFORTS OF CHILDREN'S HOSPITAL & MEDICAL CENTER 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 II, LINE 2 | CHILDREN'S HOSPITAL & MEDICAL CENTER SUPPORTED ECONOMIC DEVELOPMENT IN ITS SPONSORSHIP DONATIONS TO ORGANIZATIONS SUCH AS THE GREATER OMAHA CHAMBER OF COMMERCE, AND PARTICIPATED IN COALITION BUILDING ACTIVITIES SUCH AS THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS' COMMUNITY HEALTH AFFINITY GROUP. |
| 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: | MEDICARE2021 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 2021 COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST OF CARE RELATED TO THE REIMBURSEMENTPAYMENTS REPORTED ON SCHEDULE H, PART III, LINE 5.MEDICARE SHORTFALL IS EXCLUDED FROM COMMUNITY BENEFITS. |
| 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 CHILDREN'S HOSPITAL & MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM. ALL CORRESPONDENCE, INCLUDINGSTATEMENTS AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE. |
| PART VI, LINE 2: | CHILDREN'S HOSPITAL & MEDICAL CENTER (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).WHILE THE PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT DATA WAS BEING GATHERED IN THE COMMUNITY, CHILDREN'S BEGAN AN INTERNAL STRATEGIC ALIGNMENT PROCESS. A PROGRAMMATIC INVENTORY AND SWOT ANALYSIS WERE CONDUCTED, PRIMARY AND SECONDARY POPULATIONS WERE ESTABLISHED, AND KEY ROLES WERE DEFINED. A COMMUNITY HEALTH LANDSCAPE ANALYSIS REVEALED SEVEN POTENTIAL IMPACT AREAS TO FOCUS ON BASED ON CHILDREN'S STRATEGIC PLAN AND CURRENT PROGRAMMING CAPACITY. EACH AREA WAS RANKED BASED ON CRITERIA AND THE PRIORITY LIST WAS APPROVED BY LEADERSHIP. |
| 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 PRE-REGISTRATION.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 THROUGH GOVERNMENT 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. REQUESTS FOR OR QUESTIONS REGARDING AN ESTIMATE OF COST FOR UPCOMING CARE OR TREATMENT ARE DIRECTED TO THE PATIENT ADVOCATES, AND THESE SERVICES ARE AGAIN OFFERED DURING THAT CONVERSATION. FINANCIAL ASSISTANCE INFORMATION IS ALSO LOCATED IN THE PATIENT HANDBOOKS. PATIENT STATEMENTS 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 AS WELL AS HOW TO APPLY FOR FINANCIAL ASSISTANCE.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 APPROXIMATELY 865,613. 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, 2021, 53.9% 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 15.7% OF TOTAL HOSPITAL INPATIENT DISCHARGES DURING THIS SAME TIME PERIOD. THE REMAINING 30.4% OF TOTAL DISCHARGES WERE FROM PATIENTS RESIDING OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS.2021 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: 865,613PEDIATRIC POPULATION: 213,936AVERAGE HOUSEHOLD INCOME: $90,427PERCENT OF RESIDENTS BELOW FEDERAL POVERTY LEVELTOTAL POPULATION: 9.6%UNDER AGE 18: 11.6%PERCENT OF RESIDENTS ON MEDICAID: 9.9%AGE POPULATION %OF TOTALLESS THAN 18 213,936 24.8%18 TO 24 78,262 9.0%25 TO 44 248,821 28.7%45 TO 64 200,216 23.1%65+ 124,378 14.4%TOTAL 865,613 100.0%RACE POPULATION %OF TOTALWHITE 633,915 73.3%HISPANIC 101,462 11.7%BLACK 72,786 8.4%ASIAN/PACIFIC ISLANDER 28,388 3.3%OTHER/2+ RACES 19,233 2.2%AM. IND/ALASKA NAT 9,829 1.1%TOTAL 865,613 100.0%FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREASAPPROXIMATE % OF PATIENTS FROM MEDICALLY UNDERSERVED AREAS: 14.3%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 HOSPITAL & MEDICAL CENTER'S (CHILDREN'S) MISSION IS TO IMPROVE THE LIFE OF EVERY CHILD THROUGH DEDICATION TO EXCEPTIONAL CLINICAL CARE, ADVOCACY, RESEARCH, AND EDUCATION.CHILDREN'S CENTER FOR THE CHILD & COMMUNITY IS A STATEWIDE COMMUNITY OUTREACH HUB OF CHILDREN'S. THE CHILDREN'S CENTER FOR THE CHILD & COMMUNITY WAS LAUNCHED IN 2016 TO SERVE AS THE INFRASTRUCTURE FOR COMMUNITY HEALTH IMPROVEMENT, LEADING BOTH INTERNAL AND EXTERNAL PARTNERSHIPS AROUND PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PLANNING AND IMPLEMENTATION.A LEADER IN PEDIATRIC HEALTH CARE, CHILDREN'S CONDUCTED MORE THAN 440,000 VISITS IN 2021. 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-BASED SERVICES, SOME OF THE OTHER PROGRAMS AND SERVICES CHILDREN'S OFFERS TO PATIENTS ARE BEHAVIORAL HEALTH, REHAB SERVICES, HOME HEALTH, WEIGHT & WELLNESS, AND AMBULATORY SERVICES. IN ADDITION, CHILDREN'S PROVIDES NUMEROUS FAMILY-CENTERED SERVICES INCLUDING PALLIATIVE CARE, CHILD LIFE SPECIALISTS, PASTORAL CARE, SOCIAL WORKERS, NURSE CASE MANAGERS, INTERPRETERS, FINANCIAL COUNSELORS, PATIENT ADVOCATES, AMONG OTHERS DEDICATED TO ENHANCING THE PATIENT EXPERIENCE.CHILDREN'S HAS ACHIEVED THE MAGNET DESIGNATION AND RE-DESIGNATION FOR NURSING EXCELLENCE. 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 2021 IN FOUR SPECIALTIES: CARDIOLOGY AND HEART SURGERY, PULMONOLOGY AND LUNG SURGERY, GASTROENTEROLOGY AND GI SURGERY, AND UROLOGY. 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 2021, CHILDREN'S PROVIDED MORE THAN $166 MILLION IN COMMUNITY BENEFITS, REPRESENTING 35% OF THE HOSPITAL'S OPERATING EXPENSES. TOTAL COMMUNITY BENEFITS PROVIDED IN 2021 INCLUDED THE FOLLOWING:- PROVIDED $3.3 MILLION IN FINANCIAL ASSISTANCE TO FAMILIES UNABLE TO PAY. WITH 45% OF PATIENT CARE REVENUES DEVOTED TO THE CARE OF LOW-INCOME CHILDREN ASSISTED BY MEDICAID, THE FY 2021 SHORTFALL BETWEEN MEDICAID REIMBURSEMENT AND THE COST OF PROVIDING CARE WAS $67 MILLION.- CONTRIBUTED $1.9 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 $22.2 MILLION IN PEDIATRIC HEALTH CARE EDUCATION COSTS TO EDUCATE TOMORROW'S HEALERS.- PROVIDED $2.5 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 |
| PART VI, LINE 7 | THE 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.CHILDRENSOMAHA.ORG/CHNA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| NE PEDIATRIC PRACTICE | ||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 263064869 | 501(C)(3) | $986,862 | $0 | PEDIATRIC RESEARCH |
| UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE | ||||||||
| 985520 NE MED CTR | OMAHA | NE | 68198 | 470049123 | 501(C)(3) | $2,997,720 | $0 | SUPPORT FOR MED SCHOOL |
| CEDARS YOUTH SERVICES INC | ||||||||
| 6601 PIONEERS BLVD | LINCOLN | NE | 68506 | 470551975 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| CHICANO AWARENESS CENTER INC | ||||||||
| 4821 S 24TH ST | OMAHA | NE | 68107 | 237208431 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| COMPLETELY KIDS | ||||||||
| 2566 ST MARYS AVE | OMAHA | NE | 68105 | 275111197 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| EDUCARE OF LINCOLN INC | ||||||||
| 3435 N 14TH ST | LINCOLN | NE | 68521 | 460568146 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| FOUNDATION FOR LINCOLN PUBLIC SCHOOLS | ||||||||
| 5905 O ST | LINCOLN | NE | 68501 | 363490560 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| GIRLS INCORPORATED OF OMAHA | ||||||||
| 2811 N 45TH ST | OMAHA | NE | 68104 | 470562184 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| HASTINGS FAMILY YMCA | ||||||||
| 1430 W 14TH ST | HASTINGS | NE | 68901 | 470376607 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| NEBRASKA APPLESEED CENTER | ||||||||
| PO BOX 83613 | LINCOLN | NE | 68501 | 470798343 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| NORTHSTAR FOUNDATION | ||||||||
| 4242 N 49TH AVE | OMAHA | NE | 68104 | 260494022 | 501(C)(3) | $56,192 | $0 | BUILD HEALTH CHALLENGE PROJECT |
| ONEWORLD COMMUNITY HEALTH CENTERS INC | ||||||||
| 4920 S 30TH ST | OMAHA | NE | 68107 | 470548990 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| YMCA OF GREATER OMAHA | ||||||||
| 430 S 20TH ST | OMAHA | NE | 68102 | 470376586 | 501(C)(3) | $15,000 | $0 | PREVENTION OF CHILDHOOD OBESITY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | FINANCIAL ASSISTANCE TO PATIENTS IN NEED | GrantTypeTxt |
| Recipient | 6763 | RecipientCnt |
| Non Cash Assistance | $7,691,633 | NonCashAssistanceAmt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
| Non Cash Assistance | WRITEOFF PATIENT ACCOUNTS | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CHILDREN'S HOSPITAL & MEDICAL CENTER 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER MALONEY MD | ||||||||||||||
| EVP CCO & PIC | $700,238 | $0 | $371,135 | $0 | $56,380 | $0 | $123,531 | $0 | $0 | $0 | $1,251,284 | $0 | $0 | $0 |
| CHANDA CHACON | ||||||||||||||
| PRESIDENT & CEO | $825,450 | $0 | $95,077 | $0 | $1,516 | $0 | $168,700 | $0 | $12,988 | $0 | $1,103,731 | $0 | $0 | $0 |
| KATHY ENGLISH | ||||||||||||||
| EVP COO & CNO | $533,111 | $0 | $279,806 | $0 | $121,737 | $0 | $25,800 | $0 | $7,384 | $0 | $967,838 | $0 | $0 | $0 |
| AMY HATCHER | ||||||||||||||
| EVP & CFO | $501,988 | $0 | $243,828 | $0 | $24,124 | $0 | $92,910 | $0 | $8,445 | $0 | $871,295 | $0 | $0 | $0 |
| ERIN WILLIS-LOUCKS MD | ||||||||||||||
| PHYSICIAN | $776,381 | $0 | $10,142 | $0 | $2,723 | $0 | $8,700 | $0 | $21,750 | $0 | $819,696 | $0 | $0 | $0 |
| AMY BONES | ||||||||||||||
| SVP & GENERAL COUNSEL | $379,556 | $0 | $193,833 | $0 | $27,417 | $0 | $68,257 | $0 | $8,162 | $0 | $677,225 | $0 | $0 | $0 |
| RICHARD AZIZKHAN MD | ||||||||||||||
| FORMER PRES/CEO THRU 8/16/19 | $0 | $0 | $0 | $0 | $677,030 | $0 | $0 | $0 | $0 | $0 | $677,030 | $0 | $0 | $0 |
| JEROLD VUCHAK | ||||||||||||||
| SVP CHIEF INFO OFFICER | $384,483 | $0 | $181,242 | $0 | $33,985 | $0 | $62,066 | $0 | $8,168 | $0 | $669,944 | $0 | $0 | $0 |
| JOHN WILLIAMS | ||||||||||||||
| VP STRATEGIC PLANNING | $119,161 | $0 | $112,936 | $0 | $363,115 | $0 | $39,898 | $0 | $11,755 | $0 | $646,865 | $0 | $0 | $0 |
| JANEL ALLEN | ||||||||||||||
| SVP & CHIEF PEOPLE OFFICER | $338,546 | $0 | $171,808 | $0 | $28,006 | $0 | $58,309 | $0 | $17,838 | $0 | $614,507 | $0 | $0 | $0 |
| JAMIE DRAKE MD | ||||||||||||||
| PHYSICIAN | $435,207 | $0 | $48,707 | $0 | $2,241 | $0 | $17,250 | $0 | $1,945 | $0 | $505,350 | $0 | $0 | $0 |
| MALINDA BENDER MD | ||||||||||||||
| PHYSICIAN | $427,042 | $0 | $42,019 | $0 | $2,410 | $0 | $17,250 | $0 | $2,380 | $0 | $491,101 | $0 | $0 | $0 |
| NICOLE VILLARREAL MD | ||||||||||||||
| PHYSICIAN | $386,225 | $0 | $47,982 | $0 | $2,026 | $0 | $17,250 | $0 | $19,530 | $0 | $473,013 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CHANDA CHACON'S SOCIAL CLUB DUES WERE PAID FOR BY THE ORGANIZATION TO BE USED FOR BUSINESS PURPOSES. |
| PART-I LINE-4A | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2021: RICHARD AZIZKHAN, M.D. $677,030 JOHN WILLIAMS $287,861 |
| PART-I LINE-4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2021. THE AMOUNTS OF DEFERRED COMPENSATION DISTRIBUTED AND ACCRUED FOR EACH OF THE INDIVIDUALS DURING 2021 ARE AS FOLLOWS: CHANDA CHACON $160,000 ACCRUAL, $0 PLAN DISTRIBUTION CHRISTOPHER MALONEY, M.D. $106,281 ACCRUAL, $0 PLAN DISTRIBUTION KATHY ENGLISH $0 ACCRUAL, $81,089 PLAN DISTRIBUTION AMY HATCHER $75,660 ACCRUAL, $0 PLAN DISTRIBUTION AMY BONES $48,157 ACCRUAL, $0 PLAN DISTRIBUTION JEROLD VUCHAK $44,816 ACCRUAL, $0 PLAN DISTRIBUTION JANEL ALLEN $41,059 ACCRUAL, $0 PLAN DISTRIBUTION JOHN WILLIAMS $20,917 ACCRUAL, $0 PLAN DISTRIBUTION |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE | ||||||||
| A | 521440796 | 259230KT6 | 2008-08-12 | $100,881,609 | REFUND BONDS (6/8/2007) | Yes (1) | 0 | 0 |
| HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE | ||||||||
| B | 521440796 | 259230NJ5 | 2017-03-14 | $101,075,067 | USED TO CONSTRUCT HUBBARD CENTER FOR CHILDREN | 0 | 0 | 0 |
| HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE | ||||||||
| C | 521440796 | 000000000 | 2017-11-28 | $26,885,000 | REFUND BONDS (8/12/2008) | 0 | 0 | 0 |
| HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE | ||||||||
| D | 521440796 | 259230PJ3 | 2020-05-28 | $109,497,288 | HUBBARD / REFUND BONDS (9/10/2014) | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $69,535,000 | $100,892,290 | $751,783 | $24,826 | $2,755,000 | $97,360,681 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $104,280,765 | $1,064,167 | $103,216,598 | 2021 | 0 | 0 | Yes (1) | Yes (1) | ||||
| C | $11,145,000 | $26,885,000 | $305,601 | $26,579,399 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| D | $1,270,000 | $109,498,595 | $1,132,344 | $90,024,355 | $18,331,807 | 2021 | Yes (1) | 0 | Yes (1) | Yes (1) | $10,089 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00200 | 0.00200 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | ||
| C | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00200 | 0.00200 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MORGAN STANLEY | ||||||||||||
| A | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 25.000000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| D | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART-II LINE-3 | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. |
| PART-IV LINE-2C | DATE 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | SYNOPSIS OF CHANGES TO THE CHILDREN'S HOSPITAL & MEDICAL CENTER BYLAWS: ARTICLE VIII, SECTION 1: ALLOWS NON-BOARD MEMBERS TO SERVE ON CERTAIN BOARD COMMITTEES. ALLOWS FINANCE, AUDIT, AND COMPLIANCE COMMITTEE MEMBERSHIP TO INCLUDE A CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION BOARD MEMBER. ALLOWS INVESTMENT COMMITTEE TO HAVE NON-BOARD MEMBERS, IF APPROVED BY THE CHAIR OF THE BOARD OF DIRECTORS. ALLOWS A PARENT OF A CHILD WHO HAS BEEN A PATIENT AT CHILDREN'S TO SERVE ON THE QUALITY & PATIENT SAFETY COMMITTEE. ARTICLE VIII, SECTION 2: STATES THE EXECUTIVE COMMITTEE WILL ADOPT A CHARTER THAT DELINEATES ITS DUTIES AND RESPONSIBILITIES ARTICLE VIII, SECTION 5: FURTHER DELINEATES THE ROLE OF THE COMPENSATION COMMITTEE IN OVERSEEING ANNUAL GOAL SETTING AND REVIEW OF THE GOALS OF THE CEO. THE EXECUTIVE COMMITTEE OF THE BOARD WILL DISCUSS THE RESULTS OF THE ANNUAL GOALS WITH THE CEO AS PART OF THE PERFORMANCE EVALUATION PROCESS. THE COMPENSATION COMMITTEE WILL REVIEW THE TOTAL COMPENSATION PACKAGE OF THE PRESIDENT & CEO ON AN ANNUAL BASIS AND MAKE RECOMMENDATIONS FOR INCREASES IN COMPENSATION TO THE EXECUTIVE COMMITTEE, WHICH WILL MAKE THE FINAL DETERMINATION ABOUT THE PRESIDENT & CEO'S COMPENSATION, TAKING INTO ACCOUNT THE COMPENSATION COMMITTEE'S RECOMMENDATIONS. ARTICLE VIII, SECTION 6: FINANCE, AUDIT, AND COMPLIANCE COMMITTEE BECOMES A HOSPITAL BOARD COMMITTEE, RATHER THAN A JOINT COMMITTEE OF THE HOSPITAL AND THE FOUNDATION. ONE MEMBER OF THE COMMITTEE SHALL BE A BOARD MEMBER OF THE FOUNDATION. ARTICLE VIII, SECTION 7: INVESTMENT COMMITTEE BECOMES A HOSPITAL BOARD COMMITTEE, RATHER THAN A JOINT COMMITTEE OF THE HOSPITAL AND THE FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | GOVERNANCE, MANAGEMENT, AND DISCLOSURE A COMPLETE COPY OF THE FORM 990 IS MADE AVAILABLE TO THE COMPENSATION COMMITTEE OF THE BOARD. THE FORM 990, EXCLUDING PART VII AND SCHEDULE J COMPENSATION INFORMATION, IS MADE AVAILABLE TO THE REMAINDER OF THE BOARD OF DIRECTORS, INCLUDING THE MEDICAL STAFF PRESIDENT. BOTH ARE MADE AVAILABLE THROUGH THE DIRECTOR'S DESK WEBSITE PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | POLICIES 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, THE CONFLICT OF INTEREST/INDEPENDENCE DETERMINATION SUBCOMMITTEE (THE SUBCOMMITTEE) 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, THE SUBCOMMITTEE AND CHILDREN'S GENERAL COUNSEL (IN WRITING IF TIME ALLOWS) OR TO THE BOARD OR BOARD COMMITTEE REVIEWING THE CONTRACT, TRANSACTION OR ARRANGEMENT. THE SUBCOMMITTEE 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 SUBCOMMITTEE 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 SUBCOMMITTEE SHALL REVIEW EACH COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE, AND MAY MAKE SUCH FURTHER INVESTIGATION OF POTENTIAL CONFLICTS AS IT MAY DETERMINE APPROPRIATE. THE SUBCOMMITTEE 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 SUBCOMMITTEE 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 SUBCOMMITTEE: (A) THE COVERED PERSON WILL BE REQUIRED TO LEAVE THE MEETING FOR THE GENERAL DISCUSSION OF THE MATTER AND THE BOARD VOTE; (B) THE SUBCOMMITTEE 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/SUBCOMMITTEE. IF THE BOARD/SUBCOMMITTE 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/SUBCOMMITTEE 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/SUBCOMMITTEE MEETING AT WHICH A CONFLICT OF INTEREST ISSUE IS ADDRESSED, THE MINUTES OF THE BOARD/SUBCOMMITEE MEETING SHALL REFLECT THE PROCESS THAT WAS FOLLOWED AND THE ACTIONS TAKEN BY THE BOARD/SUBCOMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 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. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING THE CEO'S PERFORMANCE WHICH AFFECTS HER PAY RATE INDIRECTLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNANCE, 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 IN ADMINISTRATION. |
| FORM 990, PART XI, LINE 9: | CAPITAL TRANSFERS FOUNDATION 37,018,544. CHANGE IN VALUE OF SPLIT INTEREST -360,059. CAPITAL TRANSFERS CHILDREN'S HEALTH NETWORK -418,632. |
| FORM 990, PART XII, LINE 3A | SINGLE AUDITS FOR TAX YEARS 2020 AND 2021 WILL BE CONDUCTED IN TAX YEARS 2022 AND 2023, RESPECTIVELY. |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL FOUNDATION | ||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 476105603 | FUNDRAISING | NE | 501(C)(3) | LINE 7 | CHMC | Yes (1) |
| CHILDREN'S PHYSICIANS | ||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 470689372 | PED CLINICS | NE | 501(C)(3) | LINE 10 | CHMC | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENT INC | ||||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 470527928 | REAL ESTATE | NE | CHMC | C | $219,495 | 1.00000 | Yes (1) | |
| CHILDREN'S HEALTH NETWORK | ||||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 363967578 | HEALTH NETWORK | NE | CHMC | C | $28,078 | 1.00000 | Yes (1) | -$390,554 |
| 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | 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 (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHILDREN'S HOSPITAL FOUNDATION | ||
| C | $47,785,607 | BOOK |
| CHILDREN'S HOSPITAL FOUNDATION | ||
| L | $276,975 | BOOK |
| CHILDREN'S PHYSICIANS | ||
| L | $2,092,089 | BOOK |
| CHILDREN'S HOSPITAL FOUNDATION | ||
| S | $37,018,544 | BOOK |