CHILDRENS HOSPITAL & MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL & MEDICAL CENTER (EIN 47-0379754)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201903189349314905
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T18:19:08-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 ST STE 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 | 2018-01-01 | 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 Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % AMY HATCHER | InCareOfNm |
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 4029556795 | 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 | 4029556795 | PhoneNum |
| Signature | 2019-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DONALD NEAL JR | PreparerPersonNm |
| PTIN | P00798244 | PTIN |
| Phone | 4023481450 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.102.5 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 47006120193185000003 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 65CF9D49F64C2267637B54237ED8CC7527705457 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 55718AD0153E791F3315D72D27656E543FED7AC8 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rodrigo Lopez | 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 | $443,614,039 | GrossReceiptsAmt |
| Group Return For Affiliates | false | 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 | CHILDREN'S HOSPITAL & MEDICAL CENTER DELIVERS EXTRAORDINARY CARE TO CHILDREN, EDUCATES HEALTH CARE PROFESSIONALS, AND PROMOTES PEDIATRIC RESEARCH | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 3409 | TotalEmployeeCnt |
| Total Volunteers | 238 | TotalVolunteersCnt |
| Total Gross UBI | $194,368 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $950,277 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,256,733 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,858,054 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $380,389,206 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $422,904,596 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$49,047 | PYInvestmentIncomeAmt |
| CY Investment Income | $629,335 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,504,872 | PYOtherRevenueAmt |
| CY Other Revenue | $15,222,054 | CYOtherRevenueAmt |
| PY Total Revenue | $401,101,764 | PYTotalRevenueAmt |
| CY Total Revenue | $443,614,039 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,048,713 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $19,154,203 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $187,415,316 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $207,855,199 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $156,979,984 | PYOtherExpensesAmt |
| CY Other Expenses | $162,223,280 | CYOtherExpensesAmt |
| PY Total Expenses | $355,444,013 | PYTotalExpensesAmt |
| CY Total Expenses | $389,232,682 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $45,657,751 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $54,381,357 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $521,346,658 | TotalAssetsBOYAmt |
| Total Assets EOY | $542,357,225 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $249,964,067 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $263,982,931 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $271,382,591 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $278,374,294 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE LIFE OF EVERY CHILD - THROUGH DEDICATION TO EXCEPTIONAL CLINICAL CARE, RESEARCH, EDUCATION AND ADVOCACY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $315,636,908 | ExpenseAmt |
| Grant | $19,154,203 | GrantAmt |
| Revenue | $435,296,499 | RevenueAmt |
| Desc | THE HOSPITAL OPERATES A 145-BED PEDIATRIC HOSPITAL, WHICH INCLUDES SEVEN SURGICAL SUITES, A STATE OF THE ART HYBRID HEART CATHETERIZATION LAB, AN OUTPATIENT SURGERY CENTER, A HEART TRANSPLANT PROGRAM AND A FETAL CARE CENTER THAT FOCUSES ON THE COORDINATION OF CARE FOR BABIES DIAGNOSED WITH COMPLEX CONGENITAL DEFECTS BEFORE BIRTH. THE HOSPITAL WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT IN FIVE SPECIALTIES FOR CARDIOLOGY AND HEART SURGERY, PULMONOLOGY, GASTROENTEROLOGY AND GI SURGERY, ORTHOPEDICS, DIABETES, AND ENDOCRINOLOGY. CHILDREN'S SPECIALTY PEDIATRIC CENTER OFFERS MORE THAN 50 OUTPATIENT 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 HEALTH CARE NEEDS, INCLUDING HOME MEDICAL EQUIPMENT RENTALS AND SALES, HOME HEALTH NURSING, IN-HOME PRIVATE DUTY NURSING, AND HOME INFUSION THERAPY SERVICES. THE HOSPITAL IS HOME TO THE REGION'S ONLY LEVEL IV NEWBORN INTENSIVE CARE UNIT AND THE ONLY DEDICATED PEDIATRIC EMERGENCY DEPARTMENT WITH LEVEL II PEDIATRIC TRAUMA VERIFICATION. THE HOSPITAL ALSO PROVIDES SPECIALTY PEDIATRIC CARE SERVICES IN COMMUNITIES ACROSS A FIVE-STATE REGION. CHILDREN'S HOSPITAL & MEDICAL CENTER IS THE FIRST AND ONLY PEDIATRIC HOSPITAL IN NEBRASKA, AND THE ONLY PEDIATRIC HOSPITAL SERVING WESTERN IOWA AND NORTHWEST MISSOURI, TO RECEIVE PEDIATRIC TRAUMA VERIFICATION. | Desc |
| Total Program Service Expenses | $315,636,908 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 167 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3409 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY HATCHER | PersonNm |
| Phone | 4029556795 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 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 |
|---|---|---|---|---|---|---|---|---|---|
| Rodrigo Lopez | |||||||||
| Chair | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Diane Duren | |||||||||
| Vice Chair | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Margaret Hershiser | |||||||||
| Secretary | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jim Greisch | |||||||||
| Treasurer | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Richard Azizkhan MD | |||||||||
| President, CEO, Member | 40.0 | 0.0 | Yes (X) | Yes (X) | $1,818,997 | $0 | $44,765 | ||
| Brad Brabec MD | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Bradley Britigan MD | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Joleen David | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Dave Diamond | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Robert Dunlay MD | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Mark Hasebroock | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Sherrye Hutcherson | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| John Jenkins | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Steve Lindsay | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Samantha Mosser | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Robino | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Amy Ryan | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Paul Sammut MD | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Stacy Scholtz | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Jayesh Thakker MD | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Scot Thompson | |||||||||
| Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Brown | |||||||||
| EVP Strategy & Transformation | 40.0 | 0.0 | Yes (X) | $960,776 | $0 | $113,236 | |||
| Fernando Ferrer MD | |||||||||
| SVP & Surgeon-in-chief | 40.0 | 0.0 | Yes (X) | $724,150 | $0 | $110,791 | |||
| Kathy English | |||||||||
| EVP & COO | 40.0 | 0.0 | Yes (X) | $625,745 | $0 | $106,704 | |||
| Amy Hatcher | |||||||||
| SVP & CFO | 40.0 | 0.0 | Yes (X) | $608,410 | $0 | $73,221 | |||
| Christopher Maloney MD | |||||||||
| SVP & Chief Medical Officer | 40.0 | 0.0 | Yes (X) | $517,088 | $0 | $63,413 | |||
| Steven C Burnham | |||||||||
| SVP Physician Networks | 40.0 | 0.0 | Yes (X) | $471,360 | $0 | $77,048 | |||
| Amy Bones | |||||||||
| SVP & General Counsel | 40.0 | 0.0 | Yes (X) | $459,519 | $0 | $79,087 | |||
| Suzanne Nocita | |||||||||
| SVP & CHRO | 40.0 | 0.0 | Yes (X) | $377,447 | $0 | $75,883 | |||
| Mark Stastny | |||||||||
| VP & CIO | 40.0 | 0.0 | $473,600 | $0 | $47,005 | Yes (X) | |||
| Jamie Drake MD | |||||||||
| Physician | 40.0 | 0.0 | $427,552 | $0 | $14,053 | Yes (X) | |||
| Kari Krenzer | |||||||||
| Physician | 40.0 | 0.0 | $402,480 | $0 | $38,856 | Yes (X) | |||
| Martin Beerman | |||||||||
| VP Market & Community Relation | 40.0 | 0.0 | $400,258 | $0 | $43,000 | Yes (X) | |||
| Rachel McCann MD | |||||||||
| Physician | 40.0 | 0.0 | $385,797 | $0 | $35,062 | Yes (X) | |||
| Deb Arnow | |||||||||
| SVP Pat Care Srvs & CNO | 0.0 | 0.0 | $311,127 | $0 | $9,896 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,964,306 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $932,020 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 306 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Choice Solutions LLC | |||||
| 7015 College BLVD STE 300 | OVERLAND PARK | KS | 66211 | Consulting Services | $1,931,201 |
| Travercent LLC | |||||
| 2425 N Central Expressway Ste 130 | RICHARDSON | TX | 75080 | Consulting Services | $1,162,362 |
| Fulgent Therapeutics LLC | |||||
| PO Box 748677 | LOS ANGELES | CA | 900748677 | Genetic Testing | $740,910 |
| LOCUMTENENSCOM | |||||
| PO Box 405547 | ATLANTA | GA | 30384 | STAFFING SERVICES | $537,391 |
| MCKESSON PLASMA BIOLOGICS | |||||
| 16578 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | GENETIC TESTING | $429,680 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 62 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,320,295 | RelatedOrganizationsAmt |
| Government Grants | $1,110,834 | GovernmentGrantsAmt |
| All Other Contributions | $426,925 | AllOtherContributionsAmt |
| Total Contributions | $4,858,054 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $422,904,596 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $422,904,596 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $422,904,596 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $629,335 | TotalRevenueColumnAmt |
| Exclusion | $629,335 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,830,151 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,830,151 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,830,151 | TotalRevenueColumnAmt |
| Exclusion | $2,830,151 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT FEE INCOME | 541610 | $7,390,945 | $7,390,945 |
| CAFETERIA INCOME | 900099 | $1,819,464 | $1,819,464 |
| METHODIST SERVICE | 541900 | $813,594 | $813,594 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,367,900 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,173,532 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $194,368 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,391,903 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $443,614,039 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $435,102,131 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $194,368 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,459,486 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,994,883 | TotalAmt |
| Program Services | $7,994,883 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,159,320 | TotalAmt |
| Program Services | $11,159,320 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,486,391 | TotalAmt |
| Management And General | $6,486,391 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,136,449 | TotalAmt |
| Program Services | $139,564,412 | ProgramServicesAmt |
| Management And General | $21,572,037 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,698,772 | TotalAmt |
| Program Services | $7,993,035 | ProgramServicesAmt |
| Management And General | $705,737 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,112,305 | TotalAmt |
| Program Services | $14,572,909 | ProgramServicesAmt |
| Management And General | $5,539,396 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,421,282 | TotalAmt |
| Program Services | $9,975,025 | ProgramServicesAmt |
| Management And General | $1,446,257 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,384 | TotalAmt |
| Program Services | $230,384 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,539 | TotalAmt |
| Program Services | $603,756 | ProgramServicesAmt |
| Management And General | $64,783 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,817 | TotalAmt |
| Program Services | $447,454 | ProgramServicesAmt |
| Management And General | $181,363 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,794 | TotalAmt |
| Management And General | $69,794 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,829,908 | TotalAmt |
| Program Services | $27,154,226 | ProgramServicesAmt |
| Management And General | $11,675,682 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,850,189 | TotalAmt |
| Program Services | $5,835 | ProgramServicesAmt |
| Management And General | $1,844,354 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,469,958 | TotalAmt |
| Program Services | $50,267,752 | ProgramServicesAmt |
| Management And General | $1,202,206 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,072,131 | TotalAmt |
| Program Services | $8,072,131 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,571,835 | TotalAmt |
| Program Services | $4,117,615 | ProgramServicesAmt |
| Management And General | $4,454,220 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,983 | TotalAmt |
| Program Services | $383,907 | ProgramServicesAmt |
| Management And General | $245,076 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,058,342 | TotalAmt |
| Program Services | $3,058,342 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,515,495 | TotalAmt |
| Program Services | $16,515,495 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,989,172 | TotalAmt |
| Program Services | $9,988,755 | ProgramServicesAmt |
| Management And General | $11,000,417 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,488 | TotalAmt |
| Program Services | $417 | ProgramServicesAmt |
| Management And General | $856,071 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| EQUIPMENT MAINTENANCE | $2,749,999 | $2,033,830 | $716,169 | $0 |
| COMMUNITY SERVICES | $1,005,235 | $70,415 | $934,820 | |
| BUILDING MAINTENANCE | $2,587,608 | $230,407 | $2,357,201 | |
| PROFESSIONAL FEES | $725,905 | $725,905 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,714,498 | TotalAmt |
| Program Services | $470,698 | ProgramServicesAmt |
| Management And General | $2,243,800 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,232,682 | TotalAmt |
| Program Services | $315,636,908 | ProgramServicesAmt |
| Management And General | $73,595,774 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,545,090 | BOYAmt |
| EOY | $5,509,170 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,492,538 | BOYAmt |
| EOY | $83,751,779 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,785,000 | BOYAmt |
| EOY | $2,520,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,339,551 | BOYAmt |
| EOY | $71,069,790 | 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 | $5,211,165 | BOYAmt |
| EOY | $7,034,648 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,679,215 | BOYAmt |
| EOY | $7,940,489 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $502,953,517 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $216,559,576 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,269,563 | BOYAmt |
| EOY | $286,393,941 | 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 | $4,745,484 | BOYAmt |
| EOY | $2,450,687 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,066,772 | BOYAmt |
| EOY | $57,303,451 | 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 | $17,212,280 | BOYAmt |
| EOY | $18,383,270 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $521,346,658 | BOYAmt |
| EOY | $542,357,225 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,603,493 | BOYAmt |
| EOY | $75,156,400 | 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 | $0 | BOYAmt |
| EOY | $151,769 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,221,038 | BOYAmt |
| EOY | $176,598,743 | 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 | $5,355,069 | BOYAmt |
| EOY | $5,002,955 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,936 | BOYAmt |
| EOY | $314,408 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,052,531 | BOYAmt |
| EOY | $6,758,656 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,964,067 | BOYAmt |
| EOY | $263,982,931 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,597,591 | BOYAmt |
| EOY | $275,854,294 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,785,000 | BOYAmt |
| EOY | $2,520,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,382,591 | BOYAmt |
| EOY | $278,374,294 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $521,346,658 | BOYAmt |
| EOY | $542,357,225 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $54,381,357 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$47,389,654 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $69,794 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $69,794 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $389,162,888 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $389,232,682 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
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 | $75,525 | CurrentYearMinus3Amt |
| Current Year Minus2 | $45,055 | CurrentYearMinus2Amt |
| Current Year Minus1 | $63,273 | CurrentYearMinus1Amt |
| Current Year | $69,794 | CurrentYearAmt |
| Total | $253,647 | 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) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| 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 |
| End Year Balance | $88,066,716 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $71,680,965 | BeginningYearBalanceAmt |
| Contributions | $9,780,309 | ContributionsAmt |
| Investment Earnings Or Losses | $338,557 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,659,931 | GrantsOrScholarshipsAmt |
| End Year Balance | $80,139,900 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $53,221,749 | BeginningYearBalanceAmt |
| Contributions | $20,698,028 | ContributionsAmt |
| Investment Earnings Or Losses | $249,787 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,488,599 | GrantsOrScholarshipsAmt |
| End Year Balance | $71,680,965 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $52,709,846 | BeginningYearBalanceAmt |
| Contributions | $2,540,657 | ContributionsAmt |
| Investment Earnings Or Losses | $115,359 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,142,005 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,108 | OtherExpendituresAmt |
| End Year Balance | $53,221,749 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $52,569,968 | BeginningYearBalanceAmt |
| Contributions | $4,571,646 | ContributionsAmt |
| Investment Earnings Or Losses | $103,409 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $4,535,177 | GrantsOrScholarshipsAmt |
| End Year Balance | $52,709,846 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.44400 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.07600 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.48000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,605,071 | OtherCostOrOtherBasisAmt |
| Book Value | $28,605,071 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $249,328,267 | OtherCostOrOtherBasisAmt |
| Depreciation | $108,075,145 | DepreciationAmt |
| Book Value | $141,253,122 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,546,749 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,616,326 | DepreciationAmt |
| Book Value | $7,930,423 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $121,714,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,561,813 | DepreciationAmt |
| Book Value | $24,152,439 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,759,179 | OtherCostOrOtherBasisAmt |
| Depreciation | $306,293 | DepreciationAmt |
| Book Value | $84,452,886 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $286,393,941 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROJECT FUND-LT PORTION | Desc |
| Book Value | $57,303,451 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $57,303,451 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION LIABILITY | $3,299,451 |
| SWAP LIABILITY | $3,459,205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,758,656 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | TO SUPPORT PROGRAMS, FUTURE CAPITAL IMPROVEMENTS, AND OPERATIONS OF CHILDREN'S HOSPITAL & MEDICAL CENTER. |
| Schedule D, 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 2018 AND 2017, 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 (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,274,020 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,274,020 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $141,887,843 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $111,701,916 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,185,927 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07760 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $146,161,863 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $111,701,916 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,459,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08860 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,153,925 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $786,054 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,367,871 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,430,061 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,110,834 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,319,227 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05990 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $138,762,919 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $102,477,401 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,285,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09320 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,868,856 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,868,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,320,404 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,320,404 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $170,536,165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $104,374,289 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,161,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16990 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $316,698,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $216,076,205 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $100,621,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.25850 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,000 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,000 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,459,745 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $118,456 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $216,456 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$98,000 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | None | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Line 5 | AS PART OF THE 2018 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; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. SUPPORTING ORGANIZATIONS FOR THE CHNA INCLUDED: CHARLES DREW HEALTH CENTER, INC., DOUGLAS COUNTY HEALTH DEPARTMENT, LIVE WELL OMAHA, AND ONE WORLD COMMUNITY HEALTH CENTERS, INC. 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, 166 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, MINORITY POPULATIONS, MEDICALLY UNDERSERVED POPULATIONS AND INDIVIDUALS WITH CHRONIC DISEASE CONDITIONS. |
| Schedule H, Part V, Line 6a | BOYS TOWN NATIONAL RESEARCH HOSPITAL |
| Schedule H, Part V, Line 6b | BUILDING HEALTHY FUTURES, CHARLES DREW HEALTH CENTER, INC., DOUGLAS COUNTY HEALTH DEPARTMENT, LIVE WELL OMAHA, AND ONE WORLD COMMUNITY HEALTH CENTERS, INC. |
| Schedule H, Part V, Line 7a | HTTPS://WWW.CHILDRENSOMAHA.ORG/GET-INVOLVED/ADVOCACY-OUTREACH/COMMUNITY-AD VOCACY/ |
| Schedule H, Part V, Line 10A | HTTPS://WWW.CHILDRENSOMAHA.ORG/WP-CONTENT/UPLOADS/2018/05/201618CHNAIMPLEM ENTATION.PDF |
| Schedule H, Part V, Line 11 | On November 29, 2018, 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 2018 Community Health Needs Assessment (CHNA). The Executive Committee has the power to transact all regular business of Children's. Upon review, the Executive Committee of the Board of Directors approved and adopted this CHNA and instructed Children's Center for the Child & Community (the Center) to develop a new implementation strategic plan for 2019-2021 to undertake these measures to meet the health needs of the community. Significant Health Needs of the Community 2018 Based on the information obtained through the Child & Adolescent CHNA and the guidelines set forth in Healthy People 2020, the following "Areas of Opportunity" represent the significant health needs of children and adolescents in the community. From these data sets, opportunities for children's health improvement exist in the area with regard to the following health issues. Areas of Opportunity Identified through this 2018 CHNA * Access to Health Services: - Difficulty Accessing Children's Healthcare - Finding a Physician - Appointment Availability - Lack of Transportation - Cost of Prescriptions * Cognitive & Behavioral Conditions: - Autism Prevalence - Cognitive & Behavioral Conditions ranked as a top concern in the Online Key Informant Survey. * Diabetes: - Childhood Diabetes Prevalence * Injury & Violence: - Age 1-4 Mortality - Children Exposed to Neighborhood Violence - Children Feeling Unsafe at School or Going To/From School * Mental Health: - Symptoms of Depression [ages 5-17] - Suicide Attempts [High Schoolers] - Diagnosed Anxiety [ages 5-17] - Chronic Worrying [ages 5-17] - Child Has Difficulty Sleeping [ages 5-17] - Lived with Someone with Serious Mental Health Issues - Family Stays Hopeful in Difficult Times - Mental & Emotional Health ranked as a top concern in the Online Key Informant Survey. * Neurological Conditions: - Brain Injuries/Concussions * Oral Health: - Condition of Teeth * Nutrition, Physical Activity, & Weight: - Overweight & Obesity - Fast Food Consumption - Nutrition, Physical Activity, and Weight ranked as a top concern in the Online Key Informant Survey. * Sexual Health: - Gonorrhea Incidence [Children/Adults] - Chlamydia Incidence [Children/Adults] - Condom Use [High Schoolers] - Use of Birth Control [High Schoolers] - Sexual Health ranked as a top concern in the Online Key Informant Survey. * Tobacco, Alcohol & Other Drugs: - Member of Household Smokes - Drinking & Driving [High Schoolers] - Lifetime Illicit Drug Use [High Schoolers] - Steroids (not Rx) - Heroin * Vison, Hearing, & Speech Conditions: - Recent Eye Exams - Chronic Ear Infections - Prevalence of Speech/Language Problems - Hearing Problems Based on the top health priorities identified through the 2015 CHNA process - and taking into account hospital resources and overall alignment with the hospital's mission, goals and strategic priorities - Children's focused on developing strategies and initiatives to improve: - Access to health care services - Injury and violence - Mental health - Nutrition, physical activity, & weight - Oral health - Vision, hearing & speech conditions - Asthma & other respiratory conditions - Sexual health In acknowledging the wide range of priority health issues that emerged from the CHNA process, Children's determined that it could only effectively focus on those which it deemed most pressing, most under-addressed and most within its ability to influence. Children's then created a 3-year implementation plan, to be carried out from 2016 through 2018, to address each strategic priority across our continuum of care, and identified appropriate resources to be included in each year's appropriate budget. 2018 Progress Summary Children's continues to progress in implementing the action plan that resulted from the 2015 Community Health Needs Assessment (CHNA) findings. Our team is working collaboratively across the organization to focus on hospital-based programs and services, community-based programs and partnerships that address each priority health issue identified through the CHNA process, guided by key strategies and specific tactics. Children's Center for the Child & Community serves as the infrastructure for community outreach activities. While each health issue is entirely unique, there is a common thread that connects them all: Children's is tasked to improve access to health care services, outreach and education to the community and the overall patient experience. Below are implementation highlights from each area that indicate how Children's is positively impacting the health needs of children and teens in our community. Children's Center for the Child & Community The Center is a statewide community health outreach hub of Children's, providing the infrastructure and leadership for both the internal and external partnerships around the pediatric CHNA planning and implementation. In 2018, the Center expanded its efforts to improve pediatric health statewide. Headquartered in Lincoln, Neb., Children's Center aims to integrate health care and public health efforts. The Center collaborates with communities across Nebraska to create local solutions to large-scale children's health issues, such as childhood obesity, poverty, injury prevention and food insecurity. Eight statewide strategic partnerships were formalized in 2018. Our strategic emphasis continues in the area of childhood obesity prevention, nutrition, physical activity and weight, which was the number one concern of community parents in the 2015 assessment. In another strategic effort, during 2018, Children's Preventing Childhood Obesity Community Grant program continued their learning collaborative led by Children's Center for the Child & Community and the Gretchen Swanson Center for Nutrition. The collaborative included skill building and technical assistance in the areas of planning, community engagement sustainability and data management. Children's also renewed seven "Preventing Childhood Obesity Community Scholarships" ($1,000 each) to college-bound high school seniors who plan to pursue a career related to health and wellness, with a significant focus on children. The other strategic efforts of the Center in the area of nutrition and physical activity are listed below in the 2018 highlights section. * Nutrition, Physical Activity & Weight - The Center launched a second Project ECHO (Extension for Community Healthcare Outcomes), a statewide learning collaborative that connects primary care providers across Nebraska with Children's specialists and leading national experts through free biweekly, online educational sessions on mental behavioral health. - Children's offered educational opportunities through Project ECHO that included free continuing medical education (CME) credits and optional participation in Maintenance of certification (MOC) Part IV quality improvement project through Children's. - Children's continues to bring health education into Omaha and southwest Iowa metro schools while expanding into Lancaster County classrooms through its sponsorship of GoNoodle, an online resource that helps local educators teach nutrition and physical activity. In 2018, 392 schools, 70,828 students and 3,260 teachers participated, logging more than 7.8 million minutes of movement. - Children's continued to provide Go NAP SACC (Nutrition and Physical Activity Self-Assessment for Child Care) technical assistance and training to childcare facilities statewide. Go NAP SACC is a partnership with Nebraska Department of Health and Human Services (NE DHHS) and is a component of the Step Up to Quality program for day care providers. The focus is to build healthy eating and physical activity habits in children within the childcare setting. In 2018, 25 Go NAP SACC trainers reached 280 early care & education professionals in 111 child care centers and homes that care for approximately 4,000 children. - In July 2018, the ENERGY Rx fitness program launched utilizing a newly created ENERGY Playbook. The Fitness program is a collaboration between the Center, the Lincoln YMCA, HEROES (Healthy Eating with Resources, Options and Everyday Strategies) pediatric weight management program, and primary care practices. This is a twice-weekly exercise program designed specifically for overweight and obese children. This new program has a research component in collaboration with the UNMC College of Public Health. (continue...) |
| Schedule H, Part V, Line 11 (continued) | - In 2018, Children's, in partnership with University of Nebraska - Lincoln (UNL) Extension, three farmer's markets, and one grocery store, continued the Double Up Food Bucks program. The effort increased the purchase of fresh fruits and vegetables by SNAP recipients in select Lincoln areas. Plans are underway to merge with other efforts, with a possible program expansion to other statewide sites. - Children's HEROES program continues to provide multidisciplinary clinical intervention for young people already experiencing medical complications from childhood obesity. The program includes Nebraska sites both in Omaha and Lincoln. - Other strategic tactics include Parenting U, a series of free parent education classes with topics focused on healthy eating and obesity prevention. * CHNA and Health Improvement Planning - In 2018, the management of the CHNA and health improvement planning processes transitioned to the Center. The Center has improved the process by revising the community survey to include more questions related to the social determinants of health. The Center engaged the community, especially the systems related to child health, and continues to collaborate with community stakeholders. * Early Childhood Health within communities - The Center led an Early Childhood Comprehensive Health Working Group (ECCHWG) and grew membership from an initial ten members representing six organizations to 70 individuals representing 38 organizations. (1) In collaboration with the ECCHWG and more than 100 community members, the Center completed an assessment using the MAPP (Mobilizing for Action through Planning and Partnerships) framework aimed specifically at early childhood. Together, they envisioned, "What are important characteristics/elements of a community where children are healthy and Kindergarten-ready?" (2) In 2018, the Center, along with ECCHWG, produced several issue briefs on community strategic issue, and explored a sustainable model to improve early childhood health via the Help Me Grow Model from Connecticut Children's Medical Center. (3) Dr. Karla Lester, the medical director for the Center, continues to serve as a Governor-appointed member to the Nebraska Early Childhood Interagency Coordinating Council (ECICC) which advises state government on improvement of services affecting young children and their families. * Literacy Improvement Program: - Four Children's Physicians (CP) offices (Creighton, Plattsmouth, Spring Valley, and UNMC) participated in Reach Out and Read, a nationally recognized program to improve literacy thanks to a donation made to CP. During well visits, 4,423 books were distributed since January 2018 (Creighton 709, Plattsmouth 868, Spring Valley 1,763, and UNMC 1,083). Priority Health Issues: Progress Highlights * Access to Health Care Services - CP's primary care network expanded into a Kearney, Neb., office location in July 2018; this is nearly 200 miles west of the main hospital in Omaha. This expansion increased access to pediatric health care services. - Walk-in services continued to expand within CP offices in 2018 with expanded walk-in physical days - four locations, two days; and have added walk-in flu vaccine clinics in all clinics on Saturdays. In addition, the ability to give caregiver/parent vaccine was added this past year. - CP implemented specialty visits at the CP office in Kearney - starting with Gastroenterology and Psychiatry. - In collaboration with behavioral health, there was expanded tele-psychiatry ability at several primary care offices. - In 2018, a consultant (Huron) worked with Children's Specialty Physicians (CSP) teams to increase efficiencies throughout outpatient specialty clinics and scheduling including a focus on early morning and evening visit times for family convenience. - Expanding the number of physician and advanced practice providers was another key strategy to improve access which is ongoing and actively occurring at Children's. The cardiology, pulmonology, palliative care, endocrinology, hemotology/oncology, gastroenterology, sports medicine, and neurology all added provider staff in 2018. - Across the Children's enterprise, 1,794 virtual care visits were performed in 2018. 97 percent of these visits were for Behavioral Health care while five other visit types were piloted (ADHD follow up, post-operative visit, lactation, rounding at Ambassador Health of Omaha and Lincoln Specialist visits). - An increasing number of outreach specialty clinic visits were held in 2018, with a few located greater than 50 miles away from the main campus (Lincoln, NE, Sioux City, IA and Dennison, IA). - The number of Children's outreach specialty clinic visits totaled 14,504 in 2018. * Care Transitions Team - There continues to be ongoing significant expansion in our Care Transitions department. This involves the outpatient and inpatient integration of social workers and nurse case managers across the continuum of care to assist children and their families in psychosocial aspects that affect health. o The care transitions focus in 2018 was to establish an enterprise-wide, patient-centered care coordination program that ensured high-risk and at-risk children were in the right setting to receive the right care across the entire continuum of care. The goal was to help children and their families manage their health, maintain their independence and improve their quality of life. o Ongoing 2018 initiatives to help reduce misuse of emergency department services: - Nurse case managers in the outpatient clinics reviewed frequent Emergency Department (ED) patients to determine if intervention would be appropriate and conducted a follow up phone call with patients that were seen in the ED. If appropriate, they were provided a level-of-care brochure and a listing of Urgent Care locations. - The ED care coordination team continued to offer care coordination in the ED seven days a week. - Care coordination teams across the enterprise continued to utilize Preliminary Risk Scores within the electronic health record to alert care coordination ED team members to review the patient chart and potentially meet with the family while they were in the current visit to provide appropriate interventions and supports. o To assess the Social determinants that affect health outcomes: - In 2018, CP expanded screening for food and housing insecurities during well-visits; these are known Social Determinants of Health (SDOH). There were 1,267 positive responses indicating food or housing insecurity. 60 percent were food-related and 40 percent were housing-related. Each location within CP had positive responses. * Injury & Violence Prevention - Children's Injury Prevention team provided 318 car seat checks in Children's fitting station in 2018. Children's provided another 428 car seat checks at community events, and gave out 260 safe car seats to families. - We continued to actively promote and explore increasing the number of community partners to help meet the demand for car seats and car seat education. Children's is working on grants to increase the number of Child Passenger Safety Technicians who will work in the growing immigrant and refugee populations in the area. Children's is also pursuing more car seat grants in order to provide more families with a safe car seat that fits their child. - In 2018, the emphasis on community outreach to increase child passenger safety seat checks through multiple community events has been implemented. Several of these events are specifically located and directed to the under-resourced Latino population in the Douglas County area. - A total of 905 children received free helmets and bike safety education from Children's in 2018. Hundreds more children were educated on safe bicycle skills and helmet use. - Children's continued to promote water safety/drowning prevention through partnership with the Joshua Collingsworth Memorial Foundation and Omaha Parks & Recreation. This initiative recognized a 24 percent reduction of total lifeguard rescues after life vest education was provided to all Omaha public pools. - In 2018, Children's significantly expanded Project Austin, a trauma outreach initiative that prepares rural hospitals and EMS providers to develop an emergency plan for each child and to have skill and knowledge training for the care of a medically complex child in their community. The program has newly enrolled 338 patients and has 529 actively enrolled patients. (continue...) |
| Schedule H, Part V, Line 11 (continued) | * Mental and Behavioral Health - Children's Behavioral Health expanded use of Tele-health services, improving access to care. More than 2,000 patients were seen in 2018 due to additional access hub sites. This is projected to eclipse 2,500 patients in 2019. - In 2018, Children's continued to partner with Westside Public Schools to continue the Student Assistance Program - a school-based mental health service that connects district families with Children's behavioral health team. This program saw 180 student referrals from the district during 2018 (approximating second semester 2017-2018 school year and 2018-2019 school year first semester). - In 2018, Children's also expanded behavioral health services into all CP primary care offices, resulting in more than 200 new patients. Children's also integrated behavioral health services into two oncology clinics as well as the Endocrinology DRIVE (Diabetes Resilience Independence Value and Empowerment), Cystic Fibrosis and Ulcerative Colitis/Crohn's outpatient clinics. - These efforts have allowed Children's Behavioral Health to log approximately 18,820 patient visits in 2018, an increase of approximately 19 percent from 2017. - In 2018, led by the Behavioral Health and Child Life team, the new Patient Assistance Team at Children's Hospital & Medical Center (PATCH) process created a pathway that facilitates communication between parents of Autism Spectrum Disorder, impacted patients and hospital staff. This helps ensure patient needs are clearly and efficiently identified and necessary modifications can be made to the care plan. A pilot PATCH process has begun within the outpatient surgical center and radiology departments, and has been well received by families and staff. Expansion throughout the enterprise is projected for 2019. * Oral Health - Oral health education is included in newborn booklets and discussions regarding oral health and dental home are incorporated into 12-month and 24-month well-check visits at CP locations. - Children's nursing case managers work with patients and families on the importance of pediatric oral health especially having a family dentist on an ongoing basis. - Children's continues to provide space within its Specialty Pediatric Center and the Outpatient Surgical Care suite for the UNMC College of Dentistry to treat children throughout the area with comprehensive oral health needs. * Vision, Hearing & Speech Conditions - Vision screenings are performed at 3-Year well-check visits, and hearing screenings are performed for each patient once between the 4-year and 6-year well-check visit at all CP locations. - In September 2018, Children's launched its Visionmobile, a mobile vision unit outfitted especially for pediatric vision care. The Visionmobile mission is to improve access to vision services for the underserved population, and its work first began at Omaha Public Schools. The program team included a full-time optometrist, an optician, care coordinator and van driver. During 2018, the Visionmobile visited 13 schools, providing comprehensive eye exams for 748 students and prescribing 427 pairs of glasses. Children's also provided and dispensed more than 100 pairs of glasses due to pairs being lost or broken. - The Child Vision Collaborative has been convened by Children's to connect with community child vision advocates. - Children's utilized five Colleges of nursing and allied health and interdisciplinary studies students to provide the manpower for vision screening. A Vision screening coordinator provided oversight and coordination of the events. In 2018, 14,642 students in 24 schools were screened for vision. In the first semester of the 2018-2019 school year, 39 percent of the children failed the vision screening and required a comprehensive eye exam, which is higher than the national average of 25 percent. * Asthma & Other Respiratory Conditions - Children's Project AIR (Asthma in-home Response) program is an ongoing collaboration with Omaha Healthy Kids Alliance. The program helps reduce asthma triggers in the home to prevent ED visits and hospitalizations. Patients who are identified have had three or more ED visits. The key collaborators from Children's who are referring families for this intensive healthy home and health environment evaluation and treatment are the CP primary care clinics & the Pulmonology and Allergy Clinics. - Children's Healthy Planet Asthma Project is progressing with the implementation of electronic health record improvements to enable better tracking of patients diagnosed with asthma. Work continues across the continuum with the care management program to reduce ED visits and hospital admissions due to asthma. In 2018, our care coordination team identified 70 patients who met the criteria for participation with 29 patients (41%) who enrolled and followed up with pulmonology or primary care within seven days. * Sexual Health - In 2016, CP developed an Adolescent Task Force to improve adolescent care throughout the organization. A standardized adolescent risk questionnaire assessed sexual health and other health risks (e.g. car safety and substance abuse), and provided an opportunity for the child to indicate they have questions for the provider about their health that may be confidential. The Adolescent Risk Questionnaire - which confidentially asked patients about their health risk behavior choices - was implemented during well visit exams and at other visits where the staff felt it was appropriate. o In 2018, this assessment was expanded to all 15 CP primary care offices. Since the implementation of the Adolescent Risk Questionnaire, Children's has increased the sexually transmitted infection (STI) testing by 85%. - Another barrier to appropriate STI testing was the inability to keep the testing confidential, as the tests are reported out to families by some third party payers on explanation of benefits documents. To address this barrier, CP has participated in a grant with the Women's Fund of Omaha's Adolescent Health Project. The project is designed to address the elevated Chlamydia/Gonorrhea rates in Douglas County amongst the 15-24 year old population as it is one of the highest in the nation. By participating in this grant, the CP offices in the metro Omaha region were able to offer free testing and treatment for their patients. * Women's Fund of Omaha - The Adolescent Health Project through the Women's Fund of Omaha has funded 1,149 Chlamydia/Gonorrhea tests at CP clinics since December 2017, out of the total 1,505 test administered. Participation in the grant has increased STI testing in our clinics by almost 900 tests per year compared to lab volumes prior to participation. |
| Schedule H, Part V, Line 13b | PRESUMPTIVE ELIGIBILITY CHILDREN'S RECOGNIZES THAT SOME PATIENTS WILL BE UNRESPONSIVE TO THE CHARITY CARE APPLICATION PROCESS DUE TO A VARIETY OF REASONS INCLUDING BUT NOT LIMITED TO: 1. LACK OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL CHARITY CARE APPLICATION REQUIREMENTS. 2. LACK OF THE EDUCATIONAL LEVEL TO UNDERSTAND AND COMPLETE THE CHARITY CARE 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 MEDICAID APPLICATION 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 CHARITY CARE 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 CHARITY CARE. |
| Schedule H, Part V, Line 16a | https://www.childrensomaha.org/hospital-experience/insurance-billing-medic al-records/financial-assistance/ Schedule H, Part V, Line 16b https://www.childrensomaha.org/hospital-experience/insurance-billing-medic al-records/financial-assistance/ Schedule H, Part V, Line 16c https://www.childrensomaha.org/hospital-experience/insurance-billing-medic al-records/financial-assistance/ Schedule H, Part V, 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. |
| Schedule H, Part V, Line 24 | AT CHILDREN'S, COMMERCIAL INSURERS, GOVERNMENT PAYORS AND SELF-PAY BILLING PARTIES ARE ALL BILLED THE SAME GROSS CHARGE RATE FOR EACH SPECIFIC PROCEDURE PERFORMED. GROSS CHARGES ON A FAP-PATIENT BILL ARE THEN DISCOUNTED ACCORDING TO THEIR FPG ELIGIBILITY WHICH REDUCES OR ELIMINATES THE AMOUNT THE PATIENT IS REQUIRED TO PAY. |
| 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 |
|---|---|---|---|---|
| LINCOLN CLINIC | ||||
| 5930 VANDERVOOT DR STE A | LINCOLN | NE | 68516 | PEDIATRIC CLINIC |
| CAROLYN SCOTT RAINBOW HOUSE | ||||
| 7825 FARNAM DRIVE | OMAHA | NE | 68114 | MINIMUM TO NO-COST ACCOMMODATIONS FOR FAMILIES OF PATIENTS |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, 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 PROCEDURES, HELMET CLINIC, EATING DISORDERS PROGRAM AND HEROES WEIGHT MANAGEMENT PROGRAM. 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 (INCLUDING PROOF OF MEDICAID DENIAL) WILL BE CONSIDERED FOR FREE OR REDUCED ASSISTANCE ON THE BASIS OF 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 LEAVING UP TO 1% OF THE FAMILY'S GROSS INCOME AS THE RESPONSIBILITY. 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 INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR, CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP. |
| Schedule H, Part I, Line 6a | THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE ORGANIZATION. THE VALUES REPORTED IN THE 2018 COMMUNITY BENEFIT REPORT INCLUDE $4.3M IN FINANCIAL ASSISTANCE. |
| Schedule H, 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 NONPATIENT 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. |
| Schedule H, Part I, Line 7G | THE ORGANIZATION DID NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. |
| Schedule H, Part II | COMMUNITY BUILDING ACTIVITIES CHILDREN'S HOSPITAL & MEDICAL CENTER SUPPORTS ECONOMIC DEVELOPMENT IN ITS SPONSORSHIP DONATIONS TO ORGANIZATIONS SUCH AS THE NEBRASKA CHAMBER OF COMMERCE & INDUSTRY. |
| Schedule H, 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 2018 MEDICARE COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST VALUE. BAD DEBT EXPENSE AT 100% CHARGE VALUE $3,811,345 MEDICARE COST TO CHARGE RATIO X .383 BAD DEBT EXPENSE AT COST $1,459,745 ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY: THIS PROCESS INCLUDES IDENTIFYING CHARITY CARE 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 2018 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. |
| Schedule H, Part III, Line 4 | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ADJUSTMENTS. IN EVALUATING PATIENT ACCOUNTS RECEIVABLE BY FINANCIAL CLASS, MANAGEMENT REGULARLY REVIEWS AN ANALYSIS OF ITS HISTORICAL COLLECTIBILITY TRENDS ALONG WITH AN AGING OF ACCOUNTS RECEIVABLE. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS, COLLECTIBILITY IS DETERMINED BASED ON A COMBINATION OF HISTORICAL TRENDS AND CONTRACTUAL AGREEMENTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, INCLUDING PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENTS, MANAGEMENT ANALYZES HISTORICAL TRENDS IN EACH OF ITS PREDETERMINED STAGES OF COLLECTIBILITY AND STATUS OF AGREED-UPON PAYMENT PLANS. THE DIFFERENCE BETWEEN THE STANDARD OR NEGOTIATED DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| Schedule H, Part III, Line 8 | MEDICARE 2018 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 2018 COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST OF CARE RELATED TO THE REIMBURSEMENT PAYMENTS REPORTED ON Schedule H, Part III, LINE 5. |
| Schedule H, Part III, Line 9b | COLLECTION PRACTICES SELF 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, INCLUDING STATEMENTS AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE. |
| Schedule H, Part VI, Line 2 | 2-Needs Assessment 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 2020) and pediatric care standards. We also review data from the American Academy of Pediatrics, as listed in our 2018 Community Health Needs Assessment (CHNA) report, and trends as identified by Children's Hospital Association (CHA). During this 2018 Child and Adolescent CHNA, additional community feedback on prioritization of health needs was obtained with leadership and active participation within the Douglas County Mobilizing for Action through Planning and Partnerships (MAPP) process and the Live Well Omaha's 2018 Changemaker summit. Douglas County Health Department and Children's partnered to facilitate a series of strategic assessments (Forces of Change Assessment, a Local Public Health Systems Assessment and a Community Strengths and Themes Assessment) by using the MAPP process. This framework applies strategic thinking to the priority health issues to identify resources to meet the challenges and opportunities. On November 5, 2018, findings from this CHNA were presented at Live Well Omaha's 2018 Changemaker Summit. The Changemaker Summit is the region's largest multi-sector health conference, which gathers more than 170 leaders from across Douglas, Sarpy, Cass and Pottawattamie Counties to celebrate the milestones of our collective work and advance future work while learning from local, regional and national experts. At this event, data was shared reflecting the significant health issues identified from the research and the MAPP process. Individuals' ratings from this summit yielded the following prioritized list of community health needs for children and adolescents in the Omaha metro area: 1. Mental Health 2. Nutrition, Obesity & Physical Activity 3. Access to Health Services 4. Sexual Health 5. Tobacco, Alcohol & Other Drugs Organizations sponsoring or supporting this CHNA will use the information from this CHNA to develop implementation strategies to address the significant health needs in the community. The results of this prioritization exercise will be used to inform the development of action plans to guide community health improvement efforts in the coming years. By using this process in connection with the CHNA data, our community is positioned to improve the efficiency and effectiveness of local public health systems across the region. Several other current clinical assessments include the Pedi-Boost Risk score, a medical and social risk screening for all children who make an encounter with the enterprise. For those children with high or rising risk, a complete psychosocial assessment is performed by our care transition team of social workers or nurse case managers in the outpatient and inpatient setting. Several departments routinely utilize depression screening PHQ9 for those youth 12 and older. A postpartum depression screening is performed at 2 weeks, 2 months and 4 months for primary care well visits. New in 2018, within the primary care well visit is a brief food and housing insecurity screening. Internal resources that assist with the assessment of child health needs are Children's Family Advisory Councils, social workers and nurse case managers, physicians and clinical service units and IT analysts/reporters. An analysis of the information and/or data collected from these various resources is conducted to identify potential gaps in child health needs in the communities served. Needs that align with the hospital's mission and capacity are selected for review by administration, which prioritizes needs and authorizes implementation based on the scope or seriousness of the problem, availability of community resources, availability of funding, and/or alignment with the hospital's expertise and strategic goals. |
| Schedule H, Part VI, Line 3 | 3-PATIENT EDUCATION OF ELIGIBILITY FINANCIALLY 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 RESPONSBILITY TO IDENTIFY FINANCIAL NEED IS WITH THE ACCESS PATIENT ADVOCATES, CENTRAL BILLING OFFICE AND SOCIAL WORK STAFF. THESE STAFF MEMBERS ARE TRAINED TO IDENTIFY PATIENT NEEDS AND ANSWER FINANCIAL ASSISTANCE QUESTIONS. THERE ARE SEVERAL POINTS IN THE PATIENT EXPERIENCE WHERE FINANCIAL ASSISTANCE RESOURCES ARE OFFERED. THE FIRST OCCURS AT THE PRE-REGISTRATION OF INPATIENT ADMITS AND OUTPATIENTS PRESENTING THROUGH CARES AND FOR THOSE PATIENTS SCHEDULED IN THE SPECIALTY PEDIATRIC CENTER CLINICS. AT THIS TIME, ELECTRONIC ELIGIBILITY IS RAN ON THE INSURED. THE BENEFIT DETAIL INCLUDING DEDUCTIBLE, COPAYMENT AND COINSURANCE AMOUNTS ARE DISCUSSED WITH THE FAMILY. ALL INDIVIDUALS WHO ARE FINANCIALLY UNABLE TO PAY 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. AT THE TIME OF REGISTRATION, INSURANCE IS DISCUSSED AND FAMILIES AGAIN ARE OFFERED THE ASSISTANCE OF ACCESS CENTER PATIENT ADVOCATES WHO ARE AVAILABLE MONDAY THROUGH FRIDAY. ALL SELF PAY FAMILIES ARE ENCOURAGED TO SPEAK TO AN ACCESS CENTER PATIENT ADVOCATE. CARE ESTIMATES OR QUESTIONS REGARDING ESTIMATE OF COST FOR UPCOMING TESTING IS DIRECTED TO THE PATIENT ADVOCATES AND THESE SERVICES ARE AGAIN OFFERED PRIOR TO ENDING THE CONVERSATION. FINANCIAL ASSISTANCE INFORMATION IS ALSO LOCATED IN THE PATIENT HANDBOOKS. PATIENT STATEMENTS INCLUDE LEAFLETS AND ALL MAILED 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 YOU ARE UNINSURED OR HAVE LIMITED INCOME, YOU 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 PROVIDIING ALL OF THE REQUIRED DOCUMENTATION THAT THEY MAY THEN APPLY FOR THE CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. CONTACT NUMBERS FOR THE PATIENT ADVOCATES AND HOURS OF SERVICE ARE PROVIDED. THE WEBSITE INCLUDES COPIES OF CHILDREN'S FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH, ARABIC, CHINESE, FRENCH, PERSIAN, SPANISH AND VIETNAMESE. THE WEBSITE ALSO INCLUDES AMOUNTS GENERALLY BILLED IN ENGLISH. ALL OTHER BILLING, PAYMENT AND FINANCIAL RESPONSIBILITY RELATED LINKS ON CHILDREN'S WEBSITE STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE. THE FINANCIAL ASSISTANCE POLICY IS CURRENTLY AVAILABLE ON THE CHILDREN'S HOSPITAL & MEDICAL CENTER WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. https://www.childrensomaha.org/hospital-experience/insurance-billing-medic al-records/financial-assistance/ |
| Schedule H, Part VI, Line 4 | 4-COMMUNITY INFORMATION THE 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 852,672. 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, 2018, 50.9% 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 19.6% OF TOTAL HOSPITAL INPATIENT DISCHARGES DURING THIS SAME TIME PERIOD. THE REMAINING 26.5% OF TOTAL DISCHARGES WERE FROM PATIENTS RESIDING OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS. 2018 DEMOGRAPHIC SUMMARY OMAHA 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 - 12 TOTAL POPULATION 852,672 PEDIATRIC POPULATION 214,197 AVERAGE HOUSEHOLD INCOME $88,261 PERCENT OF RESIDENTS BELOW FEDERAL POVERTY LEVEL TOTAL POPULATION 11.5% UNDER AGE 18 15.3% PERCENT OF RESIDENTS ON MEDICAID 10.4% AGE POPULATION % OF TOTAL LESS THAN 18 214,197 25.1% 18 TO 24 80,015 9.4% 25 TO 44 241,830 28.4% 45 TO 64 203,977 23.9% 65+ 112,653 13.2% TOTAL 852,672 100.0% RACE POPULATION % OF TOTAL WHITE 630,684 74.0% HISPANIC 97,489 11.4% BLACK 68,411 8.0% ASIAN/PACIFIC ISLANDER 28,207 3.3% OTHER/2+ RACES 24,722 2.9% AM. IND/ALASKA NAT 3,159 0.4% TOTAL 852,672 100.00% FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS APPROXIMATE % OF PATIENTS FROM MEDICALLY UNDERSERVED AREAS:11.7% COUNTY # OF CENSUS TRACTS* TOTAL CNESUS TRACTS % OF TOTAL DOUGLAS 36 156 23.1% SARPY 12 43 27.9% POTTAWATTAMIE 3 30 10.0% TOTAL 51 229 22.3% *CENSUS TRACT IS A GEOGRAPHICAL DIVISION OF 500 TO 3,000 HOUSEHOLDS |
| Schedule H, Part VI, Line 5 | Proudly serving children since 1948, Children's Hospital & Medical Center (Children's) mission is to improve the life of every child through dedication to exceptional clinical care, research, education and advocacy. 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 Pediatrics Community Health Needs Assessment (CHNA) planning and implementation. In 2018, Children's provided medical care for 149,700 children. Children's is the only full-service, pediatric health care center in Nebraska. Some of the programs and services Children's offered to patients were: Behavorial Health, Rehab Services, Home Health, Urgent Care, HEROES (childhood obesity), and specialty care clinics. In addition, Children's offers Hand in Hand Palliative Care, Family Resources, Child Life Specialists, Pastoral Care, Social Workers, Nurse Case Managers, Interpreters, Financial Counselors, Patient Advocates, and other programs to enhance the patient experience. Children's has achieved the Magnet designation for nursing excellence and its Pediatric Intensive Care Unit has earned a Silver Beacon Award for Excellence from the American Association of Critical Care Nurses. The hospital has achieved Stage 6 on the HIMSS Analytics EMR Adoption Models (EMRAM). Children's is also recognized as a 2018-19 Best Children's Hospital by U.S. News & World Report in five pediatric specialties: Cardiology and Heart Surgery, Gastroenterology and GI Surgery, Orthopedics, Pulmonology, and Diabetes & Endocrine Disorders. Ten 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 is the primary teaching site for the family practice and joint pediatrics residency programs at Creighton University and UNMC. Children's is committed to ensuring that no child with a medical need is ever turned away due to a family's inability to pay for services. In 2018, our hospital: - Provided $5.8 million in services in the form of uncompensated care [charity care ($4.3 million) and bad debt write-offs ($1.5 million)] to families unable to pay. With 44% of patient care revenues devoted to the care of low-income children assisted by Medicaid, the Medicaid reimbursement shortfall for FY 2018 was $30.2 million less than the cost of care provided. - Contributed $1.4 million towards community health education aimed at promoting health and preventing illness and injury made available through the Kohl's Cares GoNoodle grant partnership, 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 little or no cost. - Contributed $25.8 million in pediatric health care education costs to educate tomorrow's healers. - Provided $1.7 million in cash and in-kind donations/sponsorships to benefit the broader community In 2018, Children's provided in total, more than $103 million in community benefits representing 29% of the hospital's operating expenses. |
| Schedule H, Part VI, Line 6 | 6-AFFILIATED HEALTH CARE SYSTEM CHILDREN'S HOSPITAL & MEDICAL CENTER IS NOT AFFILIATED WITH A GREATER HEALTH CARE SYSTEM, BUT IS IT'S 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 |
| Schedule H, Part VI, Line 7 | 7-STATE FILING OF COMMUNITY BENEFIT REPORT 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 WWW.CHILDRENSOMAHA.ORG/COMMUNITY-BENEFIT-INFORMATION |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| NE PEDIATRIC PRACTICE | |||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 263064869 | 501(C)(3) | $3,963,527 | PEDIATRIC RESEARCH |
| UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE | |||||||
| 985520 NE MED CTR | OMAHA | NE | 68198 | 470049123 | 501(C)(3) | $4,031,356 | SUPPORT FOR MED SCH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CHARITY ASSISTANCE TO PATIENTS IN NEED | GrantTypeTxt |
| Recipient | 6830 | RecipientCnt |
| Non Cash Assistance | $11,159,320 | NonCashAssistanceAmt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
| Non Cash Assistance | WRITEOFF PAT ACCT | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, 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) ORGANIZATIONS BASED ON THE HOSPITAL'S EVALUATION CRITERIA. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | 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 (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Richard Azizkhan MD | ||||||||||||||
| President, CEO, Member | $952,461 | $0 | $354,690 | $0 | $511,846 | $0 | $35,000 | $0 | $9,765 | $0 | $1,863,762 | $0 | $486,233 | $0 |
| Deb Arnow | ||||||||||||||
| SVP Pat Care Srvs & CNO | -$855 | $0 | $75,889 | $0 | $236,093 | $0 | $0 | $0 | $9,896 | $0 | $321,023 | $0 | $0 | $0 |
| Michael Brown | ||||||||||||||
| EVP Strategy & Transformation | $560,274 | $0 | $176,712 | $0 | $223,790 | $0 | $100,096 | $0 | $13,140 | $0 | $1,074,012 | $0 | $219,250 | $0 |
| Fernando Ferrer MD | ||||||||||||||
| SVP & Surgeon-in-chief | $723,121 | $0 | $0 | $0 | $1,029 | $0 | $109,179 | $0 | $1,612 | $0 | $834,941 | $0 | $28,326 | $0 |
| Kathy English | ||||||||||||||
| EVP & COO | $451,823 | $0 | $169,493 | $0 | $4,429 | $0 | $97,939 | $0 | $8,765 | $0 | $732,449 | $0 | $0 | $0 |
| Amy Hatcher | ||||||||||||||
| SVP & CFO | $373,411 | $0 | $149,970 | $0 | $85,029 | $0 | $64,903 | $0 | $8,318 | $0 | $681,631 | $0 | $82,597 | $0 |
| Christopher Maloney MD | ||||||||||||||
| SVP & Chief Medical Officer | $495,288 | $0 | $0 | $0 | $21,800 | $0 | $79,979 | $0 | $327 | $0 | $597,394 | $0 | $15,764 | $0 |
| Steven C Burnham | ||||||||||||||
| SVP Physician Networks | $338,987 | $0 | $125,996 | $0 | $6,377 | $0 | $63,973 | $0 | $13,075 | $0 | $548,408 | $0 | $0 | $0 |
| Amy Bones | ||||||||||||||
| SVP & General Counsel | $286,478 | $0 | $115,325 | $0 | $57,716 | $0 | $71,721 | $0 | $7,366 | $0 | $538,606 | $0 | $52,296 | $0 |
| Suzanne Nocita | ||||||||||||||
| SVP & CHRO | $243,191 | $0 | $75,378 | $0 | $58,878 | $0 | $63,086 | $0 | $12,797 | $0 | $453,330 | $0 | $51,230 | $0 |
| Mark Stastny | ||||||||||||||
| VP & CIO | $264,395 | $0 | $111,590 | $0 | $97,615 | $0 | $35,342 | $0 | $11,663 | $0 | $520,605 | $0 | $49,294 | $0 |
| Jamie Drake MD | ||||||||||||||
| Physician | $397,436 | $0 | $29,750 | $0 | $366 | $0 | $13,812 | $0 | $241 | $0 | $441,605 | $0 | $0 | $0 |
| Kari Krenzer | ||||||||||||||
| Physician | $369,900 | $0 | $29,750 | $0 | $2,830 | $0 | $21,738 | $0 | $17,118 | $0 | $441,336 | $0 | $0 | $0 |
| Martin Beerman | ||||||||||||||
| VP Market & Community Relation | $262,832 | $0 | $91,677 | $0 | $45,749 | $0 | $41,801 | $0 | $1,199 | $0 | $443,258 | $0 | $42,187 | $0 |
| Rachel McCann MD | ||||||||||||||
| Physician | $348,080 | $0 | $35,000 | $0 | $2,717 | $0 | $19,250 | $0 | $15,812 | $0 | $420,859 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | FIRST-CLASS TRAVEL WAS PAID FOR BY THE ORGANIZATION AND WAS SOLELY FOR BUSINESS PURPOSES. |
| Schedule J, Part I, Line 1a | RICHARD AZIZKHAN'S SOCIAL CLUB DUES ARE PAID FOR BY THE ORGANIZATION TO BE USED FOR BUSINESS PURPOSES. |
| Schedule J, Part I, Line 4a | THE FOLLOWING EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2018: DEBRA ARNOW $236,093 |
| Schedule J, Part I, Line 4b | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2018. THE AMOUNTS OF DEFERRED COMPENSATION DISTRIBUTED AND ACCRUED FOR EACH OF THE INDIVIDUALS DURING 2018 ARE AS FOLLOWS: MICHAEL BROWN $75,346 ACCRUAL, $219,250 PLAN DISTRIBUTION KATHY ENGLISH $73,189 ACCRUAL, $0 PLAN DISTRIBUTION STEPHEN C BURNHAM $44,723 ACCRUAL, $0 PLAN DISTRIBUTION RICHARD AZIZKHAN, M.D. $0 ACCRUAL, $486,233 PLAN DISTRIBUTION AMY HATCHER $48,403 ACCRUAL, $82,597 PLAN DISTRIBUTION AMY BONES $37,221 ACCRUAL, $52,296 PLAN DISTRIBUTION SUSAN NOCITA $0 ACCRUAL, $51,230 PLAN DISTRIBUTION CHRISTOPHER MALONEY, M.D. $63,479 ACCRUAL, $15,764 PLAN DISTRIBUTION FERNANDO FERRER, M.D. $92,679 ACCRUAL, $28,236 PLAN DISTRIBUTION MARK STASTNY $27,092 ACCRUAL, $49,294 PLAN DISTRIBUTION MARTIN BEERMAN $22,679 ACCRUAL, $42,187 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 (true) | false | false |
| HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE | ||||||||
| B | 521440796 | 2014-09-10 | $19,900,000 | REFUND BONDS (8/12/2008) | false | false | false | |
| HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE | ||||||||
| C | 521440796 | 259230NJ5 | 2017-03-14 | $101,075,067 | USED TO CONSTRUCT HUBBARD CENTER | false | false | false |
| HOSPITAL AUTHORITY #2 OF DOUGLAS CO NE | ||||||||
| D | 521440796 | 2017-11-28 | $26,885,000 | REFUND BONDS (8/12/2008) | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $65,000,000 | $0 | $100,892,260 | $0 | $0 | $0 | $751,783 | $24,826 | $0 | $2,755,000 | $97,360,681 | $0 | 2008 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $1,280,000 | $0 | $20,416,445 | $0 | $0 | $0 | $207,632 | $0 | $0 | $0 | $20,208,813 | $0 | 2008 | false | Yes (true) | Yes (true) | Yes (true) |
| C | $0 | $0 | $103,562,643 | $0 | $0 | $0 | $1,064,167 | $0 | $0 | $45,195,025 | $0 | $57,303,451 | false | false | false | Yes (true) | |
| D | $4,190,000 | $0 | $26,885,000 | $0 | $0 | $0 | $305,601 | $0 | $0 | $0 | $26,579,399 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
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 | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00200 | 0.00200 | false | false | false | Yes (true) |
| B | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00200 | 0.00200 | false | false | false | Yes (true) |
| C | false | false | false | false | 0 | false | false | false | Yes (true) | |||
| D | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00200 | 0.00200 | false | false | false | Yes (true) |
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 | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MORGAN STANLEY | |||||||||||||
| A | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 25. | false | false | false | 0 | false | Yes (true) |
| 0 | |||||||||||||
| B | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) | |||
| 0 | |||||||||||||
| C | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) | |||
| 0 | |||||||||||||
| D | false | false | Yes (true) | Yes (true) | false | false | false | 0 | false | Yes (true) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART II, LINE 3 | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN E DUE TO INVESTMENT EARNINGS. |
| SCHEDULE K, PART IV, LINE 2C | DATE THE REBATE COMPUTATION WAS PERFORMED: 10/02/2017 (2008 BONDS) DATE THE REBATE COMPUTATION WAS PERFORMED: 08/21/2018 (2014 BONDS) DATE THE REBATE COMPUTATION WAS PERFORMED: 05/21/2018 (2017B BONDS) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RICHARD AZIZKHAN MD | |||
| WIFE IS EMPLOYEE | $128,400 | EMPLOYMENT | false |
| RICHARD AZIZKHAN MD | |||
| SON IS EMPLOYEE | $35,937 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b | GOVERNANCE, MANAGEMENT, AND DISCLOSURE A COMPLETE COPY OF THE FORM 990, INCLUDING SCHEDULE J, IS MADE AVAILABLE TO THE EXECUTIVE COMMITTEE OF THE BOARD EXCLUDING THE MEDICAL STAFF PRESIDENT. 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, 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 (INTERESTED PERSON). INTERESTED PERSON INCLUDES BUT NOT LIMITED TO ANY DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, OR KEY EMPLOYEE. AN INTERESTED PERSON MUST ANNUALLY SUBMIT A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE IN THE FORMAT PRESCRIBED BY THE GOVERNANCE COMMITTEE. EACH INTERESTED PERSON SHALL ANNUALLY ACKNOWLEDGE IN WRITING THAT HE OR SHE (A) HAS RECEIVED A COPY OF THIS POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THE POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO THE BOARD AND COMMITTEES; (E) UNDERSTANDS THAT CHILDREN'S IS A NOT-FOR-PROFIT ORGANIZATION THAT MUST ENGAGE PRIMARILY IN EXEMPT ACTIVITIES; (F) AGREES TO PROMPTLY REPORT TO THE CHAIR OF THE GOVERNANCE COMMITTEE AND CHILDREN'S GENERAL COUNSEL ANY CHANGE TO MATTERS PREVIOUSLY DISCLOSED ON THE CONFLICT OF INTEREST QUESTIONNAIRE; AND (G) STATES THAT THE INFORMATION PROVIDED IN THE CONFLICT OF INTEREST QUESTIONNAIRE IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF. AN INTERESTED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL 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 ACTION. DISCLOSURE MEANS PROMPTLY PROVIDING THE MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO THE CHAIR OF THE GOVERNANCE COMMITTEE AND CHILDREN'S GENERAL COUNSEL (IN WRITING IF TIME ALLOWS) OR TO THE BOARD OR BOARD COMMITTEE REVIEWING THE CONTRACT, TRANSACTION OR ARRANGEMENT. 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 INVOLVES OBTAINING A PERSONAL GAIN OR ADVANTAGE, OR COULD HAVE AN ADVERSE EFFECT ON CHILDREN'S INTERESTS. ALSO, DISCLOSING OR USING INFORMATION RELATING TO CHILDREN'S BUSINESS FOR THE PERSONAL PROFIT OR ADVANTAGE OF AN INDIVIDUAL OR HIS OR HER FAMILY WOULD GIVE RISE TO A CLAIM OF CONFLICT. FULL DISCLOSURE OF ANY SUCH SITUATION OR ANY OTHER CIRCUMSTANCES IN DOUBT SHOULD BE MADE. A POTENTIAL 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. IN SOME INSTANCES, IT MAY BE SO SERIOUS THAT IT PREVENTS THE INDIVIDUAL FROM FURTHER PARTICIPATION IN CHILDREN'S DELIBERATIONS WITH RESPECT TO A PARTICULAR TRANSACTION, OR COULD BE SO PERVASIVE THAT THE INDIVIDUAL MAY BE DISQUALIFIED FROM CONTINUED AFFILIATION WITH CHILDREN'S. ON THE OTHER HAND, IT MAY BE OF LITTLE OR NO SIGNIFICANCE ONCE IT HAS BEEN DISCLOSED. THE GOVERNANCE COMMITTEE WILL CONSIDER THE FOLLOWING FACTORS, AMONG OTHER RELEVANT FACTS, WHEN DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS: (I) THE PROXIMITY OF THE INTERESTED PERSON TO THE DECISION-MAKING AUTHORITY OF THE OTHER ENTITY INVOLVED IN THE TRANSACTION OF BUSINESS ARRANGEMENT; (II) THE MAGNITUDE OF THE FINANCIAL INTEREST; (III) THE DEGREE TO WHICH THE INTERESTED PERSON MIGHT BENEFIT PERSONALLY IF A PARTICULAR TRANSACTION OR BUSINESS ARRANGEMENT WERE APPROVED; AND (IV) THE ABILITY OF THE INTERESTED PERSON TO MAKE AN INDEPENDENT DECISION BASED ONLY ON THE BEST INTEREST OF CHILDREN'S. THE GOVERNANCE COMMITTEE SHALL REVIEW EACH COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE, AND MAY MAKE SUCH FURTHER INVESTIGATION OF POTENTIAL CONFLICTS AS IT MAY DETERMINE APPROPRIATE. THE GOVERNANCE COMMITTEE SHALL MAKE APPROPRIATE REPORTS TO THE BOARD CONCERNING ITS REVIEW, ANY FURTHER INVESTIGATION, AND ITS RECOMMENDATIONS TO THE BOARD REGARDING ANY POTENTIAL CONFLICT OF INTEREST. WHENEVER AN INTERESTED PERSON (OR A PERSON OTHER THAN THE INTERESTED PERSON) VOLUNTARILY IDENTIFIES OR DISCLOSES A POTENTIAL CONFLICT OF INTEREST, THE REMAINING BOARD/COMMITTEE MEMBERS REVIEW AND DETERMINE WHETHER A CONFLICT EXISTS. ONLY DISINTERESTED BOARD/COMMITTEE MEMBERS MAY VOTE TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS AND THE SUBJECT INTERESTED PERSON CANNOT BE PRESENT DURING THE VOTE. TRANSACTIONS OR BUSINESS ARRANGEMENTS INVOLVING INTERESTED PERSONS WITH CONFLICTS OF INTEREST MUST BE APPROVED IN ADVANCE BY A MAJORITY OF DISINTERESTED DIRECTORS. IN ORDER TO APPROVE AN ARRANGEMENT OR TRANSACTION INVOLVING AN ACTUAL CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED 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 DISINTERESTED DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. IN CASES IN WHICH AN INTERESTED PERSON HAS A FINANCIAL INTEREST IN A PROPOSED ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN, AT THE DISCRETION OF THE BOARD: (A) THE INTERESTED PERSON MAY BE REQUIRED TO LEAVE THE MEETING FOR THE GENERAL DISCUSSION OF THE MATTER AND THE BOARD VOTE; AND/OR (B) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION. THE GOVERNANCE COMMITTEE CAN RECOMMEND TO THE BOARD THAT A DIRECTOR OR A MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS BE ASKED TO RESIGN IN THE EVENT A CONFLICT OF INTEREST IS SO SUBSTANTIAL THAT IT WOULD BE INCOMPATIBLE WITH CHILDREN'S BEST INTERESTS TO HAVE SUCH AN INDIVIDUAL ON ITS BOARD/COMMITTEE. IF THE BOARD/COMMITTEE BELIEVES AN INTERESTED 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 SHALL DETERMINE WHETHER SUCH PERSON HAS, IN FACT, VIOLATED THE DISCLOSURE REQUIREMENTS OF THIS 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. |
| Form 990, Part VI, Line 15b | POLICIES EACH YEAR AN INDEPENDENT COMPANY CONDUCTS A MARKET ANALYSIS OF EXECUTIVE COMPENSATION. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE. EXECUTIVE BASE SALARIES ARE TARGETED FOR THE 50TH PERCENTILE OF THE MARKET. 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 AND 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 HIS PAY RATE INDIRECTLY. |
| Form 990, Part VI, 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 THROUGH PUBLICLY AVAILABLE SOURCES SUCH AS EMMA.MSRB.ORG. |
| Form 990, Part XI, Line 9 | ($265,000) - CHANGE IN VALUE OF SPLIT INTEREST $903,493 - CHANGE IN VALUE OF SWAP ($47,535,180) - CAPITAL TRANSFERS FOUNDATION ($492,967) - CAPITAL TRANSFERS CHILDREN'S HEALTH NETWORK ($47,389,654) - TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCES |
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 (true) |
| CHILDREN'S PHYSICIANS | ||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 470689372 | PED CLINICS | NE | 501(C)(3) | LINE 10 | CHMC | Yes (true) |
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 Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENT INC | ||||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 470527928 | REAL ESTATE | NE | CHMC | C Corp | $0 | $219,495 | 1.00000 | Yes (true) |
| CHILDREN'S HEALTH NETWORK | ||||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 363967578 | HEALTH NETWORK | NE | CHMC | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHILDREN'S HOSPITAL FOUNDATION | ||
| c | $3,320,295 | BOOK |
| CHILDREN'S HOSPITAL FOUNDATION | ||
| l,m,n | $5,787,097 | BOOK |
| CHILDREN'S HOSPITAL FOUNDATION | ||
| r | $41,748,084 | BOOK |
| CHILDREN'S HEALTH NETWORK | ||
| r | $492,968 | BOOK |