STRATEGY STUDIO / PUBLIC DATA EXPLORER

CHILDRENS HOSPITAL & MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL & MEDICAL CENTER (EIN 47-0379754)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-14
IRS object ID
202513189349305441
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-14T10:54:19-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11212 NORTH 96TH STREET SUITE 300AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470379754EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY HATCHERPersonNm
Person TitleCFOPersonTitleTxt
Phone4029556262PhoneNum
Signature2025-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSOPHIE R KINGPreparerPersonNm
PTINP02233384PTIN
Phone4023481450PhoneNum
Preparation2025-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 DODGE STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$997,907,215GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSNEBRASKA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO IMPROVE THE LIFE OF EVERY CHILD THROUGH EXCEPTIONAL CARE, ADVOCACY, RESEARCH AND EDUCATIONActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee4298TotalEmployeeCnt
Total Volunteers147TotalVolunteersCnt
Total Gross UBI$975,321TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$404,428NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,774,507PYContributionsGrantsAmt
CY Contributions Grants$15,336,100CYContributionsGrantsAmt
PY Program Service Revenue$605,143,914PYProgramServiceRevenueAmt
CY Program Service Revenue$712,319,163CYProgramServiceRevenueAmt
PY Investment Income$15,217,614PYInvestmentIncomeAmt
CY Investment Income$28,372,916CYInvestmentIncomeAmt
PY Other Revenue$16,706,751PYOtherRevenueAmt
CY Other Revenue$18,449,138CYOtherRevenueAmt
PY Total Revenue$646,842,786PYTotalRevenueAmt
CY Total Revenue$774,477,317CYTotalRevenueAmt
PY Grants And Similar Paid$15,934,318PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,133,355CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$314,891,399PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$349,550,547CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$597CYTotalFundraisingExpenseAmt
PY Other Expenses$271,857,751PYOtherExpensesAmt
CY Other Expenses$315,413,343CYOtherExpensesAmt
PY Total Expenses$602,683,468PYTotalExpensesAmt
CY Total Expenses$685,097,245CYTotalExpensesAmt
PY Revenues Less Expenses$44,159,318PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$89,380,072CYRevenuesLessExpensesAmt
Total Assets BOY$1,395,470,547TotalAssetsBOYAmt
Total Assets EOY$1,555,241,618TotalAssetsEOYAmt
Total Liabilities BOY$362,259,056TotalLiabilitiesBOYAmt
Total Liabilities EOY$349,940,833TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,033,211,491NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,205,300,785NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE LIFE OF EVERY CHILD - THROUGH EXCEPTIONAL CARE, ADVOCACY, RESEARCH AND EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$563,664,887ExpenseAmt
Grant$20,133,355GrantAmt
Revenue$730,153,065RevenueAmt
DescTHE HOSPITAL OPERATES A 225 LICENSED-BED PEDIATRIC HOSPITAL, WHICH INCLUDES 13 SURGICAL SUITES, TWO HYBRID HEART CATHETERIZATION LABS, AN OUTPATIENT SURGERY CENTER INCLUDING 4 SURGICAL SUITES. CHILDREN'S HAS ACHIEVED THE MAGNET DESIGNATION FOR NURSING EXCELLELNCE, AND ITS PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS HAVE EARNED A BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, WHICH RECOGNIZES CRITICAL CARE UNITS WITH EXCELLENT PATIENT OUTCOMES THAT EXCEED NATIONAL BENCHMARKS. THE HOSPITAL WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT IN THE NEPHROLOGY AND PULMONOLOGY & LUNG SURGERY SPECIALTIES. CHILDREN'S SPECIALTY PEDIATRIC CENTER OFFERS MORE THAN 100 OUTPATIENT SPECIALTY AND SUB-SPECIALTY CLINICS, PROVIDING DIAGNOSTICS, TREATMENT, AND THERAPY. IN ADDITION, THE HOSPITAL PROVIDES OUTPATIENT BEHAVIORAL HEALTH AND A FULL ARRAY OF PEDIATRIC HOME HEALTHCARE SERVICES TO CHILDREN AND ADOLESCENTS WHO HAVE IMMEDIATE OR LONG-TERM HEALTHCARE NEEDS. THE HOSPITAL IS HOME TO THE REGION'S ONLY LEVEL IV NEONATAL INTENSIVE CARE UNIT AND THE ONLY DEDICATED PEDIATRIC EMERGENCY DEPARTMENT WITH LEVEL II PEDIATRIC TRAUMA CERTIFICATION. THE HOSPITAL ALSO PROVIDES SPECIALTY PEDIATRIC CARE SERVICES IN COMMUNITIES ACROSS THREE STATES.Desc
Total Program Service Expenses$563,664,887TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document276IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4298EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHANDA CHACON
PRESIDENT & CEO40.000.00Yes (X)Yes (X)$1,757,773$0$437,688
MARGARET HERSHISER
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
STACY SCHOLTZ
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
SAMANTHA MOSSER
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
AMY RYAN
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
NICOLE BIRGE
MEMBER1.000.00Yes (X)$0$0$0
DAVE DIAMOND
MEMBER1.000.00Yes (X)$0$0$0
ROBERT DUNLAY MD
MEMBER1.000.00Yes (X)$0$0$0
CINDY HEIDER
MEMBER1.000.00Yes (X)$0$0$0
FARHAN KHAN
MEMBER1.000.00Yes (X)$0$0$0
STEVE LINDSAY
MEMBER1.000.00Yes (X)$0$0$0
SUE THADEN
MEMBER1.000.00Yes (X)$0$0$0
BRYAN WILSON
MEMBER1.000.00Yes (X)$0$0$0
JONATHAN WEGNER
MEMBER1.000.00Yes (X)$0$0$0
AMY HATCHER
EVP & CFO39.001.00Yes (X)$941,557$0$122,324
KATHY ENGLISH
EVP & COO40.000.00$900,709$0$38,083Yes (X)
PAM JOHNSON-CARLSON
SVP PCS & CNO40.000.00$591,471$0$39,549Yes (X)
CHRISTOPHER MALONEY MD
EVP CHIEF CLINICAL OFFICER40.000.00$1,066,632$0$115,587Yes (X)
AMY BONES
SVP & GENERAL COUNSEL40.000.00$624,504$0$32,974Yes (X)
JEROLD VUCHAK
EVP CHIEF INFO & INNOV OFFICER40.000.00$707,456$0$101,034Yes (X)
JANEL ALLEN
EVP & CHIEF PEOPLE OFFICER40.000.00$611,404$0$102,291Yes (X)
ERIN WILLIS-LOUCKS MD
PHYSICIAN40.000.00$960,056$0$52,518Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,161,562TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,042,048TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K725IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CHOICE SOLUTIONS LLC
7015 COLLEGE BLVDOVERLAND PARKKS66211IT SERVICES$2,060,322
SELLERS DORSEY & ASSOCIATES
1635 MARKET ST STE 301PHILADELPHIAPA19103CONSULTING SERVICES$1,212,089
NODDLE VP1 LLC
2285 S 67TH ST STE 250OMAHANE68106FACILITIES SERVICES$1,035,791
SWISTAK ENTERPRISES LLC
4624 CREST RIDGE LOOPBLAIRNE68008FACILITIES SERVICES$1,034,996
UNMC PHYSICIANS
983135 NEBRASKA MEDICAL CENTEROMAHANE68198PATHOLOGY SERVICES$913,308
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Related Organizations$14,092,429RelatedOrganizationsAmt
Government Grants$1,243,671GovernmentGrantsAmt
Total Contributions$15,336,100TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business622110BusinessCd
Total Revenue Column$712,319,163TotalRevenueColumnAmt
Related Or Exempt Func Income$712,319,163RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$712,319,163TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,231,340TotalRevenueColumnAmt
Unrelated Business Revenue$479,668UnrelatedBusinessRevenueAmt
Exclusion$11,751,672ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$615,236RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$615,236RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$615,236TotalRevenueColumnAmt
Exclusion$615,236ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$239,571,474SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$223,290,479SecuritiesAmt
Other$139,419OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$16,280,995SecuritiesAmt
Other-$139,419OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,141,576TotalRevenueColumnAmt
Exclusion$16,141,576ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE INCOME541610$9,546,780$9,546,780
CAFETERIA INCOME900099$2,611,640$2,611,640
INTERCOMPANY RENTAL900099$1,334,410$1,334,410

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,341,072TotalRevenueColumnAmt
Related Or Exempt Func Income$3,845,419RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$495,653UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,833,902OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$774,477,317TotalRevenueColumnAmt
Related Or Exempt Func Income$729,657,412RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$975,321UnrelatedBusinessRevenueAmt
Exclusion$28,508,484ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,150,000TotalAmt
Program Services$3,150,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$16,983,355TotalAmt
Program Services$16,983,355ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,789,186TotalAmt
Management And General$4,789,186ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$266,332,264TotalAmt
Program Services$230,344,481ProgramServicesAmt
Management And General$35,987,783ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,964,674TotalAmt
Program Services$14,356,834ProgramServicesAmt
Management And General$2,607,840ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$43,917,913TotalAmt
Program Services$39,531,823ProgramServicesAmt
Management And General$4,386,090ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,546,510TotalAmt
Program Services$15,204,422ProgramServicesAmt
Management And General$2,342,088ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$636,640TotalAmt
Program Services$633,324ProgramServicesAmt
Management And General$3,316ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$478,273TotalAmt
Management And General$478,273ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$103,658TotalAmt
Management And General$103,658ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$53,645,406TotalAmt
Program Services$31,490,259ProgramServicesAmt
Management And General$22,155,147ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,422,332TotalAmt
Program Services$1,491ProgramServicesAmt
Management And General$2,420,841ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$96,107,637TotalAmt
Program Services$94,711,283ProgramServicesAmt
Management And General$1,396,354ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$25,326,166TotalAmt
Program Services$24,764,305ProgramServicesAmt
Management And General$561,861ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,078,495TotalAmt
Program Services$3,204,601ProgramServicesAmt
Management And General$6,873,894ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$771,144TotalAmt
Program Services$557,093ProgramServicesAmt
Management And General$214,051ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,516,655TotalAmt
Program Services$9,516,655ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$56,743,582TotalAmt
Program Services$58,243,432ProgramServicesAmt
Management And General-$1,499,850ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$44,729,859TotalAmt
Program Services$18,699,722ProgramServicesAmt
Management And General$26,030,137ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,492,855TotalAmt
Management And General$2,492,855ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BUILDING & GROUND MAINT$4,115,593$199,109$3,916,484
EQUIPMENT MAINTENANCE$3,471,713$1,120,728$2,350,985
BANK & SERVICE FEES$1,773,115$268,337$1,504,778
PROF DUES & SUBSCRIPTIO$1,096,606$540,980$555,626

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,903,614TotalAmt
Program Services$142,653ProgramServicesAmt
Management And General$1,760,364ManagementAndGeneralAmt
Fundraising$597FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$685,097,245TotalAmt
Program Services$563,664,887ProgramServicesAmt
Management And General$121,431,761ManagementAndGeneralAmt
Fundraising$597FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,585,258BOYAmt
EOY$7,646,844EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$88,516,264BOYAmt
EOY$80,248,298EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$124,263,474BOYAmt
EOY$186,990,977EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,168,746BOYAmt
EOY$12,271,269EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,428,735BOYAmt
EOY$14,843,391EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,001,793,137LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$338,607,015LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$644,678,654BOYAmt
EOY$663,186,122EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$434,533,613BOYAmt
EOY$515,077,563EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$71,295,803BOYAmt
EOY$74,977,154EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,395,470,547BOYAmt
EOY$1,555,241,618EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$82,175,007BOYAmt
EOY$80,943,557EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$21,747BOYAmt
EOY$1,077,124EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$241,302,478BOYAmt
EOY$235,857,651EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,759,824BOYAmt
EOY$32,062,501EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$362,259,056BOYAmt
EOY$349,940,833EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,025,210,325BOYAmt
EOY$1,163,372,683EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,001,166BOYAmt
EOY$41,928,102EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,033,211,491BOYAmt
EOY$1,205,300,785EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,395,470,547BOYAmt
EOY$1,555,241,618EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$89,380,072ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$31,056,377NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$51,652,845OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$103,658FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$103,658FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$684,993,587FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$685,097,245FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

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

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$88,360CurrentYearMinus3Amt
Current Year Minus2$71,561CurrentYearMinus2Amt
Current Year Minus1$106,423CurrentYearMinus1Amt
Current Year$103,658CurrentYearAmt
Total$370,002TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$74,968,429BeginningYearBalanceAmt
Contributions$10,048,529ContributionsAmt
Investment Earnings Or Losses$965,966InvestmentEarningsOrLossesAmt
Grants Or Scholarships$290,832GrantsOrScholarshipsAmt
Other Expenditures$11,797,908OtherExpendituresAmt
End Year Balance$73,894,184EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$92,781,994BeginningYearBalanceAmt
Contributions$8,659,064ContributionsAmt
Investment Earnings Or Losses$650,201InvestmentEarningsOrLossesAmt
Grants Or Scholarships$133,073GrantsOrScholarshipsAmt
Other Expenditures$1,997,257OtherExpendituresAmt
End Year Balance$99,960,929EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.39200BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.15400PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.45400TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,192,199OtherCostOrOtherBasisAmt
Book Value$33,192,199BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$736,282,750OtherCostOrOtherBasisAmt
Depreciation$204,528,865DepreciationAmt
Book Value$531,753,885BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,740,692OtherCostOrOtherBasisAmt
Depreciation$7,984,898DepreciationAmt
Book Value$6,755,794BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$191,952,122OtherCostOrOtherBasisAmt
Depreciation$125,676,919DepreciationAmt
Book Value$66,275,203BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,625,374OtherCostOrOtherBasisAmt
Depreciation$416,333DepreciationAmt
Book Value$25,209,041BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$663,186,122TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED PARTNERSHIP INVESTMENT$463,455,114F
CERTIFICATE OF DEPOSIT$25,000,000F
PEDIATRIC ENRICHMENT FUND$6,552,439F
OTHER - BOARD DESIGNATED FUND$20,000,000F
DEBT SERVICE RESERVE FUNDS$70,010F
FieldValueIRS element (for citing)
Total Book Value Securities$515,077,563TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
LEASE OBLIGATION - OPERATING$13,980,698
LEASE OBLIGATION - FINANCING$3,496,902
DEFERRED COMPENSATION LIABILITY$8,542,234
INTERCOMPANY PAYABLE$1,868,981
SWAP LIABILITY$565,897
CURRENT PORTION OF LEASE PAYMENTS - OPERATING$2,764,258
CURRENT PORTION OF LEASE PAYMENTS - FINANCING$843,531
FieldValueIRS element (for citing)
Total Liability$32,062,501TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THESE FUNDS ARE ADMINISTERED BY THE FOUNDATION ON BEHALF OF AND FOR THE BENEFIT OF THE HOSPITAL. THE FUNDS ARE USED TO SUPPORT PROGRAMS, FUTURE CAPITAL IMPROVEMENTS, AND OPERATIONS OF THE HOSPITAL.
PART X, LINE 2:FIN 48 FOOTNOTE THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. DURING 2024 AND 2023, THE COMPANY DID NOT RECORD ANY AMOUNTS RELATED TO UNCERTAIN TAX POSITIONS OR ANY ACCRUED INTEREST AND PENALTIES.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEANINVESTMENTS$42,988,404
EUROPE (INCLUDING ICELAND AND GREENLAND)INVESTMENTS$17,551,100
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$60,539,504SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$60,539,504TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,236,174TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,236,174NetCommunityBenefitExpnsAmt
Total Expense0.01060TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$235,935,693TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$149,671,194DirectOffsettingRevenueAmt
Net Community Benefit Expns$86,264,499NetCommunityBenefitExpnsAmt
Total Expense0.12590TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$243,171,867TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$149,671,194DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,500,673NetCommunityBenefitExpnsAmt
Total Expense0.13650TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,966,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,817,752DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,148,603NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,302,093TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,302,093NetCommunityBenefitExpnsAmt
Total Expense0.05590TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,670,313TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,502,627DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,167,686NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,061,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,061,000NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$190,320,864TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,609,900DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,710,964NetCommunityBenefitExpnsAmt
Total Expense0.11200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$262,320,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$122,930,279DirectOffsettingRevenueAmt
Net Community Benefit Expns$139,390,346NetCommunityBenefitExpnsAmt
Total Expense0.20340TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$505,492,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$272,601,473DirectOffsettingRevenueAmt
Net Community Benefit Expns$232,891,019NetCommunityBenefitExpnsAmt
Total Expense0.33990TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,264,672BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$216,881ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,021,290CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$804,409MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL & MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 5: AS PART OF THE 2024 CHILD & ADOLESCENT (PEDIATRIC) COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY CONDUCTED ON BEHALF OF THE HOSPITAL, BOYS TOWN NATIONAL RESEARCH HOSPITAL AND BUILDING HEALTHY FUTURES, KEY INFORMANTS (INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY) WERE CONTACTED BY EMAIL, INTRODUCED TO THE PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT KEY INFORMANT SURVEY AND PROVIDED A LINK TO TAKE THE SURVEY ONLINE. THE SURVEY COLLECTED RESPONSES IN FEBRUARY AND MARCH OF 2024, AND REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. SUPPORTING ORGANIZATIONS FOR THE PCHNA INCLUDED: CHARLES DREW HEALTH CENTER, INC., CREIGHTON UNIVERSITY INSTITUTE FOR POPULATION HEALTH, DOUGLAS COUNTY HEALTH DEPARTMENT, THE LOZIER FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS, INC. AND SARPY/CASS HEALTH DEPARTMENT.KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS AMONG THE FAMILIES AND CHILDREN/ADOLESCENTS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. IN ALL, 220 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. KEY INFORMANTS REPRESENT ORGANIZATIONS THAT WORK WITH LOW-INCOME POPULATIONS, POPULATIONS OF COLOR, MEDICALLY UNDERSERVED POPULATIONS, AND INDIVIDUALS WITH SPECIAL HEALTH CONDITIONS.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 6A: BOYS TOWN NATIONAL RESEARCH HOSPITAL
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 6B: BUILDING HEALTHY FUTURES, CHARLES DREW HEALTH CENTER, INC., CREIGHTON UNIVERSITY INSTITUTE FOR POPULATION HEALTH, DOUGLAS COUNTY HEALTH DEPARTMENT, THE LOZIER FOUNDATION, ONE WORLD COMMUNITY HEALTH CENTERS, INC., AND SARPY/CASS HEALTH DEPARTMENT
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 11: CHILD HEALTH DATA GALLERY WALKS WERE CONDUCTED IN THE COMMUNITY, SHARING DATA FROM THE 2024 PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT (PCHNA) AND GATHERING INPUT ON CHILDREN'S NEBRASKA'S CHILD HEALTH PRIORITIES FOR THE NEXT THREE YEARS. THREE PRIORITIES WERE IDENTIFIED: ACCESS TO CARE, PEDIATRIC MENTAL HEALTH AND WELLNESS, AND THE SOCIAL DETERMINANTS OF HEALTH. ON NOVEMBER 18, 2024, THE BOARD OF DIRECTORS OF 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 PCHNA. UPON REVIEW, THE BOARD OF DIRECTORS APPROVED AND ADOPTED THIS PCHNA AND INSTRUCTED CHILDREN'S COMMUNITY HEALTH & ADVOCACY TEAM TO DEVELOP A NEW IMPLEMENTATION STRATEGY PLAN FOR 2025-2027 TO UNDERTAKE MEASURES TO MEET THE HEALTH NEEDS OF THE COMMUNITY.IMPLEMENTATION STRATEGY PLANTHE 2022-2024 IMPLEMENTATION STRATEGY PLAN (ISP) CLOSED WITH EVALUATION DETAILED IN THE 2024 PCHNA. THE 2022-2024 IMPLEMENTATION STRATEGY PLAN WAS APPROVED APRIL 26, 2022 BY THE QUALITY & PATIENT SAFETY COMMITTEE OF THE BOARD OF DIRECTORS OF CHILDREN'S NEBRASKA, WHICH INCLUDES REPRESENTATIVES FROM THROUGHOUT THE COMMUNITY.AS A RESULT OF THE INTERNAL AND EXTERNAL PLANNING CONVERSATIONS UTILIZING THE PCHNA DATA, ALIGNMENT WITH CHILDREN'S FIVE-YEAR STRATEGIC PLAN AND THE DESIRE TO ADDRESS STRATEGIES FOR WHICH COMMUNITY HEALTH IMPROVEMENT IS NEEDED, THE FOLLOWING IMPACT AREAS WERE IDENTIFIED AS PRIORITIES FOR THE ISP:- PEDIATRIC MENTAL WELLNESS- SOCIAL DETERMINANTS OF HEALTH: HEALTHY HOUSING FINANCIAL STABILITY FOOD SECURITYIN ADDITION TO THE IMPACT AREAS, A FOCUS ON UNDERREPRESENTED POPULATIONS AS DEFINED BY NATIONAL INSTITUTES OF HEALTH (NIH), USING EARLY CHILDHOOD SETTINGS AND SCHOOLS AS ACCESS POINTS FOR INTERVENTIONS AND SERVICE DELIVERY, AND UTILIZATION OF CHILDREN'S ACCESS TO CARE FRAMEWORK ADOPTED DURING THE 2019-2021 ISP ARE ALL KEY COMPONENTS OF A SUCCESSFUL 2022-2024 ISP.THE 2022-2024 ISP WAS LARGELY FOCUSED ON DUE DILIGENCE TO BETTER UNDERSTAND CHALLENGES RELATED TO THE IMPACT AREAS. THE 2022-2024 ISP IDENTIFIED THREE KEY AREAS TO BE CARRIED FORWARD OR EXPANDED IN THE 2025-2027 ISP: IDENTIFYING INTERVENTIONS THAT BEST ADDRESS THE NEEDS OF IMPACTED COMMUNITIES AND POPULATIONS, SELECTING COMMUNITY PARTNERS WHO REPRESENT THESE INTERESTS AND ARE POSITIONED TO DRIVE MEANINGFUL CHANGE AND ESTABLISHING BEST PRACTICES FOR COORDINATING EFFORTS BOTH INTERNALLY AND IN COMMUNITY.KEY ACCOMPLISHMENTS OF THE 2022-2024 ISP INCLUDE:DISCOVERY & RESEARCH:SOCIAL DETERMINANTS OF HEALTH- PROMISING PRACTICE RESEARCH WAS COMPLETED DESCRIBING THE WORK IN THE SOCIAL DETERMINANTS OF HEALTH BY PEER HOSPITALS, COMMUNITY ORGANIZATIONS AND BEST PRACTICE.- AN INTERNAL, ANONYMOUS SOCIAL NEEDS SURVEY WAS CONDUCTED WITH CHILDREN'S TEAM MEMBERS TO IDENTIFY WHAT RESOURCES CHILDREN'S NEBRASKA SHOULD INVESTIGATE MAKING AVAILABLE TO TEAM MEMBERS TO ADDRESS THEIR SOCIAL NEEDS. PEDIATRIC MENTAL WELLNESS:- ASSESSED NEED TO INFORM PROGRAMMING: O 80+ NEBRASKA SECONDARY STUDENTS WERE SURVEYED TO HELP IDENTIFY A NEED FOR THE CALM PROJECT - A PROGRAM CONNECTING HEALTH CARE PROVIDERS AND SCHOOLS TO EMPOWER TEENS TO GET NEEDED MENTAL HEALTH HELP AND SUPPORT. O OVER 330 SCHOOL SOCIAL WORKERS AND COUNSELORS WERE SURVEYED TO IDENTIFY THEIR MOST PREVALENT NEEDS IN ADDRESSING THE SOCIAL, EMOTIONAL AND BEHAVIORAL HEALTH NEEDS OF NEBRASKA STUDENTS.- CARING CONTACTS O CHILDREN'S LAUNCHED CARING CONTACTS IN 2020, PROVIDING HAND-WRITTEN NOTES TO CHILDREN BEING SEEN IN THE EMERGENCY DEPARTMENT FOR SUICIDAL IDEATION. SINCE ITS LAUNCH, NEARLY 1,000 CHILDREN AND YOUTH HAVE BEEN ENROLLED. O THE PROGRAM HAS BEEN PEER REVIEWED AND PUBLISHED WITH THE FOLLOWING FINDINGS: - ONLY 7% OF THOSE ENROLLED EXPERIENCE REPEAT INCIDENCE OF SUICIDE IDEATION OR GESTURE COMPARED TO 27% AMONG THIS POPULATION NATIONALLY. - INCREASE IN STAFF SOCIAL WORKER RETENTION. - NO PATIENT DEATHS OF ENROLLED PATIENTS TO-DATE. O A REPLICATION PACKAGE WAS DEVELOPED AND IS BEING DISSEMINATED TO SCHOOLS ACROSS NEBRASKA BY CHILDREN'S SCHOOL HEALTH TEAM IN COLLABORATION WITH CARE COORDINATION. EDUCATION AND TRAINING:SOCIAL DETERMINANTS OF HEALTH:- CHILDREN'S CONDUCTED 10 COMMUNITY LEARNING TOURS TAKING 86 TEAM MEMBERS TO VISIT 21 ORGANIZATIONS WORKING TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH WITH THE GOAL TO INCREASE TEAM MEMBER AWARENESS OF RESOURCES IN THE COMMUNITY AND CHALLENGES FACED BY THOSE WE SERVE.- CHILDREN'S NEBRASKA'S PAID VOLUNTEER TIME OFF PROGRAM, KNOWN AS BEINVOLVED, WAS LAUNCHED IN SUMMER 2022. OVER 4,300 VOLUNTEER HOURS HAVE BEEN COMPLETED BY CHILDREN'S TEAM MEMBERS SINCE PROGRAM INCEPTION.PEDIATRIC MENTAL WELLNESS- WITH A FOCUS ON EDUCATING PROFESSIONALS WITH SKILLS AND SUPPORT: O THE COPE PROGRAM LAUNCHED WITH: - 94 PRIMARY CARE PROVIDERS WHO EACH COMPLETED 20 HOURS OF TRAINING IN THE MANAGEMENT OF MILD TO MODERATE MENTAL HEALTH CONDITIONS WITHIN THEIR PATIENTS. - 1,927 CMES WERE AWARDED THROUGH COPE. O CHILDREN'S NEBRASKA TEAMED UP WITH ESU10 AND THE NEUROSEQUENTIAL NETWORK TO FUND THE NEUROSEQUENTIAL MODEL IN EDUCATION BOOTCAMP TRAINING FOR 2 SCHOOL-BASED MENTAL HEALTH THERAPISTS SERVING THE ESU 10 EDUCATIONAL REGION. O FOLLOWING COMPLETION OF THE FIRST 18-MONTHS OF A LEARNING COLLABORATIVE, THE ZERO SUICIDE PRINCIPLES WERE FULLY SOCIALIZED THROUGHOUT THE ORGANIZATION. SIGNIFICANT PROGRESS WAS MADE REGARDING IMPLEMENTATION AND OPERATIONALIZATION. O TRAUMA INFORMED CARE TRAINING WAS PROVIDED TO OVER 300 TEAM MEMBERS.ADVOCACY:SOCIAL DETERMINANTS OF HEALTH:- COMMUNITY PROGRAM CONTRIBUTIONS WERE MADE TO COMMUNITY ORGANIZATIONS WORKING IN THE IMPACT AREAS.- 10 COMMUNITY IMPACT GRANTS WERE AWARDED TO COMMUNITY ORGANIZATIONS TO FUND PROJECTS ADDRESSING CHILDREN'S IMPACT AREAS.- IMPLEMENTATION WORK BEGAN ON THREE STRATEGIES: O CHILD CARE SURVEY WAS INITIATED AND DISSEMINATED TO CHILDREN'S NEBRASKA TEAM MEMBERS TO UNDERSTAND OUR WORKFORCE'S NEED AND BARRIERS IN THE AREA OF CHILD CARE. O AN INTERNAL GROUP OF STAKEHOLDERS WAS CONVENED, AND A HEALTHY HOUSING PHYSICIAN CHAMPION WAS NAMED IN PARTNERSHIP WITH THE MID-AMERICAN PEDIATRIC ENVIRONMENTAL HEALTH SPECIALTY UNIT (MAPEHSU). O CHILDREN'S BOARD PLACEMENT PROJECT WAS LAUNCHED, PREPARING TEAM MEMBERS FOR PLACEMENT ON COMMUNITY BOARDS AND ASSISTING WITH PLACEMENT.- AN INTERNAL HEALTH EXCELLENCE & OPPORTUNITY STEERING COMMITTEE WAS FORMED INCLUDING A COMMUNITY HEALTH WORKGROUP LED BY COMMUNITY HEALTH & ADVOCACY.- HOSTED A FOOD RESOURCE FAIR HELD IN SPRING 2024 AT THE NEW COMMUNITY WELLNESS CENTER IN PARTNERSHIP WITH NEBRASKA MEDICINE/UNMC. - A PARTNERSHIP WITH HABITAT FOR HUMANITY OMAHA WAS ESTABLISHED TO PROVIDE EDUCATION AND CASE MANAGEMENT FOR CHILDREN'S TEAM MEMBERS TO BECOME MORTGAGE READY.- FINANCIAL LITERACY COURSES WERE PROVIDED TO CHILDREN'S TEAM MEMBERS THROUGH A PARTNERSHIP WITH BRIDGES OUT OF POVERTY.PEDIATRIC MENTAL WELLNESS:- INCREASING ACCESS TO CARE & CAPACITY: O CHILDREN'S BEHAVIORAL HEALTH URGENT CARE OPENED IN THE FALL OF 2024 IN KEARNEY, NEBRASKA, BRINGING GREATER ACCESS TO MENTAL HEALTH CARE AND SUPPORT TO RURAL, CENTRAL NEBRASKA. O CHILDREN'S ANNOUNCED THE OPENING AND BROKE GROUND ON THE BEHAVIORAL HEALTH & WELLNESS CENTER.- STRENGTHENING SCHOOL MENTAL HEALTH PROGRAMS & SERVICES: O INCREASED SCHOOL MENTAL HEALTH INFRASTRUCTURE BY FACILITATING TIER 2 GROUP INTERVENTION TRAINING FOR SCHOOL SOCIAL WORKERS, COUNSELORS, PSYCHOLOGISTS AND OTHER SCHOOL MENTAL HEALTH SERVICE PROVIDERS. APPROXIMATELY 100 SCHOOL-BASED STAFF FROM ACROSS THE STATE WERE TRAINED TO FACILITATE THESE INTERVENTIONS WITH STUDENTS. O PARTNERED WITH THE SCHOOL SOCIAL WORK ASSOCIATION OF NE (SSWAN) AND THE NEBRASKA SCHOOL COUNSELOR ASSOCIATION TO INCREASE MEMBERSHIP AND SUPPORT SCHOOL MENTAL HEALTH TRAINING AND PROFESSIONAL DEVELOPMENT. PROFESSIONAL MEMBERSHIPS FOR 25 NEW MEMBERS OF EACH ASSOCIATION WERE OFFERED THROUGH THE PARTNERSHIP TO ENCOURAGE COLLABORATION AND NETWORK BUILDING TO STRENGTHEN THE PROFESSIONAL WORKFORCE.- REACHING UNDERSERVED STUDENTS: O PARTNERED WITH THE NORTHEAST NEBRASKA PUBLIC HEALTH DEPARTMENT AND NEBRASKA DEPARTMENT OF EDUCATION TO SPONSOR THE NEBRASKA NATIVE YOUTH GATHERING (NNYG) WHICH IS DESIGNED TO ENGAGE 8TH-12TH GRADE NEBRASKA AMERICAN INDIAN STUDENTS. THIS ANNUAL GATHERING AIMS TO ENHANCE THE INDIVIDUAL AND COLLECTIVE UNDERSTANDING OF SPIRITUAL, EMOTIONAL, MENTAL AND PHYSICAL WELLBEING.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 13B: CHILDREN'S RECOGNIZES THAT SOME PATIENTS WILL BE UNRESPONSIVE TO THE FINANCIAL ASSISTANCE APPLICATION PROCESS DUE TO A VARIETY OF REASONS INCLUDING BUT NOT LIMITED TO:1. LACK OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION REQUIREMENTS.2. LACK OF THE EDUCATIONAL LEVEL TO UNDERSTAND AND COMPLETE THE FINANCIAL ASSISTANCE APPLICATION.3. FEAR THAT INFORMATION GATHERED DURING THE APPLICATION PROCESS WILL BE USED IN THE COLLECTION PROCESS IN THE EVENT THAT THE APPLICATION IS DENIED.4. OUT OF STATE PATIENTS THAT DO NOT RESPOND TO COMPLETION OF A MEDICAIDAPPLICATION OR FINANCIAL ASSISTANCE APPLICATION.IN THE ABSENCE OF INFORMATION PROVIDED BY THE PATIENT OR IN CASES WHERE THE INFORMATION PROVIDED BY THE PATIENT IS INCOMPLETE, AN ASSESSMENT PROCESS UTILIZING A PREDICTIVE MODEL WILL BE DEPLOYED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. THE PREDICTIVE MODEL INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR (WIC, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM, HUD PROGRAMS), CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP.THE APPLICATION OF THE PREDICTIVE SCORING PROCESS AND PRESUMPTIVE FINANCIAL ASSISTANCE WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT FOR ALL PATIENTS THAT HAVE NOT APPLIED FOR CHARITY CARE. CHILDREN'S IS NOT OBLIGATED TO NOTIFY THE PATIENT THAT THEY HAVE RECEIVED PRESUMPTIVE FINANCIAL ASSISTANCE.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 16J: THE POLICY IS PROVIDED TO THE PUBLIC IN SUMMARY AND THEY ARE DIRECTED TO VISIT THE HOSPITAL'S WEBSITE FOR THE FULL POLICY.
CHILDREN'S HOSPITAL & MEDICAL CENTERPART V, SECTION B, LINE 24: AT CHILDREN'S, COMMERCIAL INSURERS, GOVERNMENT PAYORS AND SELF-PAY BILLING PARTIES ARE ALL BILLED THE SAME GROSS CHARGE RATE FOR EACH SPECIFIC PROCEDURE PERFORMED. GROSS CHARGES ON AN FAP-PATIENT BILL ARE THEN DISCOUNTED ACCORDING TO THEIR FPG ELIGIBILITY WHICH REDUCES OR ELIMINATES THE AMOUNT THE PATIENT IS REQUIRED TO PAY.
PART V, SECTION B, LINE 11 (CONTINUED)OTHER SIGNIFICANT HEALTH ISSUES NOT ADDRESSEDTHE FOUR IMPACT AREAS FOR THE 2022-2024 ISP WERE SELECTED BASED UPON THE SCOPE AND SEVERITY OF THE PROBLEM, OUR INSTITUTION'S DESIRE TO ADVANCE CHILD HEALTH OUTCOMES FOR ALL CHILDREN AND THE COMMUNITY'S READINESS AND ABILITY TO IMPACT CHANGE. KEY INFORMANTS FROM CHILDREN'S NEBRASKA AND COMMUNITY PARTNERS WORKED TOGETHER TO EVALUATE AND IDENTIFY CHILD HEALTH PRIORITIES. THEY DETERMINED THAT TAKING A MORE TARGETED APPROACH TO FOSTER A COLLABORATIVE INVESTMENT OF TIME AND RESOURCES WILL MAXIMIZE IMPACT AND OUTCOMES FOR CHILDREN. THE 2024 PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT, CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC), IDENTIFIED 11 KEY AREAS OF OPPORTUNITY RELATED TO SIGNIFICANT CHILD HEALTH ISSUES. CHILDREN'S PLAYS AN ACTIVE ROLE IN ADDRESSING MANY OF THESE ISSUES BY PROVIDING DIRECT SERVICES AND COMMUNITY OUTREACH PROGRAMMING. WHILE CHILDREN'S IS ACTIVE IN ADDRESSING MANY COMMUNITY-WIDE INITIATIVES AND CHILD HEALTH PRIORITIES, IT DOES NOT HAVE THE SCOPE, CAPACITY OR RESOURCES TO ADDRESS ALL OF THEM.
PART V, SECTION B, LINE 7AHTTPS://WWW.CHILDRENSNEBRASKA.ORG/COMMUNITY-HEALTH-AND-ADVOCACY/CHILD-AND-COMMUNITY-HEALTH-PRIORITIES
PART V, SECTION B, LINE 10AHTTPS://WWW.CHILDRENSNEBRASKA.ORG/COMMUNITY-HEALTH-AND-ADVOCACY/CHILD-AND-COMMUNITY-HEALTH-PRIORITIES
PART V, SECTION B, LINE 16AHTTPS://WWW.CHILDRENSNEBRASKA.ORG/BILLING/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16BHTTPS://WWW.CHILDRENSNEBRASKA.ORG/BILLING/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16CHTTPS://WWW.CHILDRENSNEBRASKA.ORG/BILLING/FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CHILDREN'S NE - WEST OMAHA
20502 ROOSEVELT STELKHORNNE68022SPECIALTY CLINICS
2 - CHILDREN'S NE REHAB SVCS - LINCOLN
5930 VANDERVOORT DR STE ALINCOLNNE68516SPECIALTY CLINICS
3 - CHILDREN'S NE SPECIALTY PEDIATRIC CTR
111 N 84TH STOMAHANE68114SPECIALTY CLINICS
4 - CNSPC - CASS WEST
8552 CASS STOMAHANE68114SPECIALTY CLINICS
5 - CNSPC - CASS EAST
8534 CASS STOMAHANE68114SPECIALTY CLINICS
6 - CNSPC - SIOUX CITY
5500 SERGEANT ROAD STE 100SIOUX CITYIA51106SPECIALTY CLINICS
7 - CNSPC - LINCOLN
2121 S 56TH STLINCOLNNE68506SPECIALTY CLINICS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:FEDERAL POVERTY GUIDELINES ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. FINANCIAL ASSISTANCE IS AVAILABLE FOR MEDICALLY NECESSARY PROCEDURES AND SERVICES. SERVICES NOT ELIGIBLE FOR FINANCIAL ASSISTANCE INCLUDE COSMETIC AND OTHER ELECTIVE SERVICES. CERTIFICATION OR PROOF OF MEDICAID DENIAL IS A REQUIREMENT FOR FINANCIAL ASSISTANCE CONSIDERATION. FINANCIALLY RESPONSIBLE PARTIES WHO SUBMIT A COMPLETE AND VERIFIABLE APPLICATION FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR FREE OR REDUCED ASSISTANCE BASED ON FEDERAL POVERTY GUIDELINES (400% FPL LIMIT). FAMILIES THAT DO NOT QUALIFY FOR INCOME-BASED FINANCIAL ASSISTANCE THAT HAVE VERIFIABLE OUT OF POCKET MEDICAL DEBT GREATER THAN 20% OF GROSS INCOME MAY QUALIFY FOR CATASTROPHIC ASSISTANCE. PRESUMPTIVE ELIGIBILITY IS AVAILABLE IN A VARIETY OF CIRCUMSTANCES INCLUDING THE ABSENCE OF DOCUMENTATION REQUIRED TO COMPLY WITH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION REQUIREMENTS. THE PREDICTIVE MODEL INCORPORATES INCOME AND HOUSEHOLD SIZE ESTIMATES, A SOCIO-ECONOMIC NEED FACTOR, CENSUS BLOCK DATA, AS WELL AS INFORMATION ON HOME OWNERSHIP.
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT IS PREPARED BY THE ORGANIZATION. THE VALUES REPORTED IN THE 2024 COMMUNITY BENEFIT REPORT INCLUDE $7.2 MILLION IN FINANCIAL ASSISTANCE.
PART I, LINE 7:EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE SUBSIDIZED HEALTH SERVICES: SUBSIDIZED HEALTH SERVICES WERE CALCULATED USING A COMBINATION OF THE HOSPITAL'S COST ACCOUNTING SYSTEM AND A COST TO CHARGE RATIO CALCULATION SIMILAR TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE REPORTED SUBSIDIZED LOSS REPRESENTS THE DIFFERENCE IN NET REVENUE RECEIVED FROM ALL PAYORS LESS TOTAL OPERATING EXPENSES INCLUDING INDIRECT COSTS APPLICABLE TO EACH DEPARTMENT. UNREIMBURSED MEDICAID COSTS REPORTED ON LINE 7B AND OTHER OPERATING EXPENSE APPLICABLE TO THE DEPARTMENT REPORTED ELSEWHERE ON SCHEDULE H AS A COMMUNITY BENEFIT IS EXCLUDED FROM THE OPERATING EXPENSE TOTAL AS ARE BAD DEBT AND NON-PATIENT CARE EXPENSE ASSOCIATED WITH EACH DEPARTMENT. INDIRECT COSTS FOR EACH DEPARTMENT WERE CALCULATED BY APPLYING THE MEDICARE COST REPORT OVERHEAD RATE APPLICABLE TO THAT DEPARTMENT TO THE DEPARTMENT'S TOTAL OPERATING EXPENSES EXCLUDING UNREIMBURSED MEDICAID EXPENSES AND/OR ANY OTHER EXPENSE ALREADY REPORTED ELSEWHERE ON SCHEDULE H AS A COMMUNITY BENEFIT.PART I, LINE 7I:THE ORGANIZATION DID NOT INCLUDE COSTS ATTRIBUTABLE TO PRIMARY CARE PHYSICIAN CLINICS AS CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT.PART II, LINE 2:THE HOSPITAL SUPPORTED ECONOMIC DEVELOPMENT IN ITS SPONSORSHIP DONATIONS TO ORGANIZATIONS SUCH AS THE GREATER OMAHA CHAMBER OF COMMERCE.
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 2024 MEDICARECOST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST VALUE.BAD DEBT EXPENSE AT 100% CHARGE VALUE $10,009,217MEDICARE COST TO CHARGE RATIO X .4261BAD DEBT EXPENSE AT COST $4,264,672
PART III, LINE 3:ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY: THIS PROCESS INCLUDES IDENTIFYING FINANCIAL ASSISTANCE CODES CONGRUENT WITH THE FINANCIAL ASSISTANCE POLICY THAT WERE CHARGED TO BAD DEBT EXPENSE AT 100% CHARGE VALUE. THIS AMOUNT IS $0 FOR 2024 AND REFLECTS THE EFFORTS OF THE HOSPITAL TO ENSURE THAT NO CHILD WITH A MEDICAL NEED IS TURNED AWAY DUE TO INABILITY TO PAY FOR HEALTH CARE.DESCRIBE HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS OR PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE: BAD DEBT EXPENSE IS CREDITED FOR ANY PAYMENT RECEIVED ON ACCOUNTS PREVIOUSLY WRITTEN OFF.
PART III, LINE 4:FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE COMPANY DETERMINES THE TRANSACTION PRICE ASSOCIATED WITH SERVICES ON THE BASIS OF CHARGES REDUCED BY IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS INCLUDED IN THE ESTIMATE OF THE TRANSACTION PRICE ARE BASED ON HISTORICAL COLLECTION EXPERIENCE FOR APPLICABLE PATIENT PORTFOLIOS. PATIENTS WHO MEET THE COMPANY'S CRITERIA FOR FREE "CHARITY" CARE ARE PROVIDED WITHOUT CHARGE; SUCH AMOUNTS ARE NOT REPORTED AS REVENUE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SETTLEMENTS WITH THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS DUE TO AUDITS, REVIEWS, OR INVESTIGATIONS ARE CONSIDERED VARIABLE CONSIDERATION AND ARE INCLUDED IN THE DETERMINATION OF THE ESTIMATED TRANSACTION PRICE FOR PROVIDING PATIENT CARE USING THE MOST LIKELY OUTCOME METHOD. THESE SETTLEMENTS ARE ESTIMATED BASED ON THE TERMS OF THE PAYMENT AGREEMENTS WITH THE PAYOR, CORRESPONDENCE FROM THE PAYOR, AND HISTORICAL SETTLEMENT ACTIVITY, INCLUDING AN ASSESSMENT TO ENSURE THAT IT IS PROBABLE THAT A SIGNIFICANT REVERSAL IN THE AMOUNT OF CUMULATIVE REVENUE RECOGNIZED WILL NOT OCCUR WHEN THE UNCERTAINTY ASSOCIATED WITH THE RETROACTIVE ADJUSTMENT IS SUBSEQUENTLY RESOLVED. ESTIMATED SETTLEMENTS ARE ADJUSTED IN FUTURE PERIODS AS NEW INFORMATION BECOMES AVAILABLE OR AS YEARS ARE SETTLED OR ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS.
PART III, LINE 8:MEDICARE2024 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 2024 COST TO CHARGE RATIO TO ARRIVE AT AN APPROXIMATE COST OF CARE RELATED TO THE REIMBURSEMENTPAYMENTS REPORTED ON SCHEDULE H, PART III, LINE 5.
PART III, LINE 9B:COLLECTION PRACTICESSELF-PAY ACCOUNTS WITH NO VERIFIABLE INSURANCE AND BALANCE AFTER INSURANCE ACCOUNTS ARE CONSIDERED FOR FINANCIAL ASSISTANCE THROUGHOUT THE COLLECTION PROCESS FOR THOSE GUARANTORS WHO ARE FINANCIALLY UNABLE TO PAY, EITHER THROUGH A GOVERNMENT PROGRAM OR THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ALL CORRESPONDENCE, INCLUDING STATEMENTS AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE.
PART VI, LINE 2:CHILDREN'S USES NUMEROUS RESOURCES TO BENCHMARK, ALIGN AND CONDUCT ASSESSMENTS OF THE HEALTH CARE NEEDS OF CHILDREN IN THE COMMUNITIES WE SERVE. THESE RESOURCES INCLUDE FOCUSED STAKEHOLDER INPUT AND PRIORITIZATION, NATIONAL PUBLIC HEALTH (HEALTHY PEOPLE 2030) AND PEDIATRIC CARE STANDARDS. WE ALSO REVIEW DATA FROM THE AMERICAN ACADEMY OF PEDIATRICS, OUR 2024 PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT (PCHNA) REPORT, AND TRENDS AS IDENTIFIED BY CHILDREN'S HOSPITAL ASSOCIATION (CHA).TO SUPPORT THE ORGANIZATION'S HEALTH EXCELLENCE EFFORTS, CHILDREN'S DEVELOPED A SOCIAL DRIVERS OF HEALTH (SDOH) AND DISPARITIES DASHBOARD. THE DASHBOARD ALLOWS OVERSIGHT OF REAL-TIME PATIENT DATA REGARDING KEY PEDIATRIC HEALTH INDICATORS AND MONITORING FOR DISPARITIES ACROSS MULTIPLE FACTORS. THE DASHBOARD DEPLOYED MID-2024 AND REPORTING BEGAN EARLY 2025. CHILDREN'S CONTINUED ITS HEALTH EXCELLENCE & OPPORTUNITY STEERING COMMITTEE, A MULTIDISCIPLINARY TEAM OF APPROXIMATELY 20 LEADERS COMMITTED TO ADDRESSING HEALTH ISSUES IMPACTING OUR WORKFORCE, PATIENTS AND THEIR FAMILIES AND OUR COMMUNITY.
PART VI, LINE 3:3-PATIENT EDUCATION OF ELIGIBILITYFINANCIALLY RESPONSIBLE PARTIES WHO EXPERIENCE DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATIONS WILL BE ENCOURAGED TO AND ASSISTED IN APPLYING FOR FINANCIAL HELP THROUGH GOVERNMENT PROGRAMS AND OTHER POTENTIAL FUNDING SOURCES OR ALTERNATIVELY QUALIFIED FOR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS IDEALLY DETERMINED EITHER PRIOR TO SERVICES BEING PROVIDED OR AT THE TIME SERVICES ARE RENDERED AND IS BASED UPON FAMILY/GUARANTOR INCOME, FAMILY SIZE AND OTHER SPECIAL CONSIDERATIONS. THE PRIMARY RESPONSIBILITY TO IDENTIFY FINANCIAL NEED IS WITH THE ACCESS CENTER PATIENT ADVOCATES, CENTRAL BILLING OFFICE AND SOCIAL WORK STAFF. THESE STAFF MEMBERS ARE TRAINED TO IDENTIFY PATIENT NEEDS AND ANSWER FINANCIAL ASSISTANCE QUESTIONS. THERE ARE SEVERAL POINTS IN THE PATIENT EXPERIENCE WHERE FINANCIAL ASSISTANCE RESOURCES ARE OFFERED. THE FIRST OCCURS AT THE PRE-REGISTRATION OF INPATIENT ADMITS ANDOUTPATIENTS PRESENTING THROUGH CARES AND FOR THOSE PATIENTS SCHEDULED INTHE SPECIALTY PEDIATRIC CENTER CLINICS.ELIGIBILITY OF THE INSURED IS VALIDATED ELECTRONICALLY. THE BENEFIT DETAIL INCLUDING DEDUCTIBLE, COPAYMENT AND COINSURANCE AMOUNTS ARE DISCUSSED WITH THE FAMILY. ALL INDIVIDUALS WHO ARE FINANCIALLY UNABLE TO PAY ARE ENCOURAGED TO AND ASSISTED IN APPLYING FOR FINANCIAL HELP THROUGHGOVERNMENT PROGRAMS AND OTHER POTENTIAL FUNDING SOURCES OR ALTERNATIVELY QUALIFIED FOR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. AT THE TIME OF REGISTRATION, INSURANCE IS DISCUSSED, AND FAMILIES AGAIN ARE OFFERED THE ASSISTANCE OF ACCESS CENTER PATIENT ADVOCATES WHO ARE AVAILABLE MONDAY THROUGH FRIDAY. ALL SELF-PAY FAMILIES ARE ENCOURAGED TO SPEAK TO AN ACCESS CENTER PATIENT ADVOCATE. CARE ESTIMATES OR QUESTIONS REGARDING ESTIMATE OF COST FOR UPCOMING TESTING ARE DIRECTED TO THE PATIENT ADVOCATES AND THESE SERVICES ARE AGAIN OFFERED PRIOR TO ENDING THE CONVERSATION. FINANCIAL ASSISTANCE INFORMATION IS ALSO LOCATED IN THE PATIENT HANDBOOKS. PATIENTSTATEMENTS AND ALL CORRESPONDENCE INCLUDING BILLS, STATEMENTS, AND COLLECTION LETTERS STATE THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE. CHILDREN'S HOSPITAL & MEDICAL CENTER'S INTERNET WEBSITE ALSO OFFERS A FINANCIAL ASSISTANCE LINK THAT INFORMS READERS IF THEY ARE UNINSURED OR HAVE LIMITED INCOME, THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS OR CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. THE WEBSITE EXPLAINS THAT DEPENDING ON INCOME LEVEL, ALL OR PART OF THE MEDICAL COSTS MAY BE FUNDED BY MEDICAID, AND, ALTERNATIVELY, IF THEY ARE DETERMINED NOT ELIGIBLE FOR MEDICAID AFTER PROVIDING ALL OF THE REQUIRED DOCUMENTATION, THEY MAY THEN APPLY FOR THE CHILDREN'S FINANCIAL ASSISTANCE PROGRAM. CONTACT NUMBERS FOR THE PATIENT ADVOCATES AND HOURS OF SERVICE ARE PROVIDED. THE WEBSITE INCLUDES COPIES OF CHILDREN'S FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION FORM AND THE PLAIN LANGUAGE SUMMARY IN ENGLISH, ARABIC, FRENCH, KAREN, NEPALI, PASHTO, SOMALI AND SPANISH. 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 HOSPITAL'S WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. HTTPS://WWW.CHILDRENSNEBRASKA.ORG/BILLING/FINANCIAL-ASSISTANCE
PART VI, LINE 4:4-COMMUNITY INFORMATIONTHE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF DOUGLAS AND SARPY COUNTIES IN NEBRASKA AND POTTAWATTAMIE COUNTY IN IOWA. THE PRIMARY SERVICE AREA HAS A CURRENT AGGREGATE POPULATION OF 897,618. 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, 2024, 46.9% OF THE HOSPITAL'S INPATIENTDISCHARGES WERE FROM PATIENTS RESIDING IN THE THREE-COUNTY PRIMARY SERVICE AREA. PATIENTS RESIDING IN THE SEVENTEEN-COUNTY SECONDARY SERVICE AREA ACCOUNTED FOR 19.4% OF TOTAL HOSPITAL INPATIENT DISCHARGES DURING THIS SAME TIME PERIOD. THE REMAINING 33.7% OF TOTAL DISCHARGES WERE FROM PATIENTS RESIDING OUTSIDE THE PRIMARY AND SECONDARY SERVICE AREAS.2024 DEMOGRAPHIC SUMMARYOMAHA METRO MARKET AREA: DOUGLAS, SARPY AND POTTAWATTAMIE COUNTIES SOURCES: ESRI (BASED ON US CENSUS BUREAU), UNITED STATES CENSUS BUREAU AND CHILDREN'S HOSPITAL AND MEDICAL CENTER PATIENT ENCOUNTER DATABASE.COMMUNITIES SERVED - URBAN, SUBURBAN AND RURAL # OF HOSPITALS SERVING COMMUNITY - 12TOTAL POPULATION 897,618PEDIATRIC POPULATION 221,444AVERAGE HOUSEHOLD INCOME $114,047PERCENT OF RESIDENTS BELOW FEDERAL POVERTY LEVELTOTAL POPULATION 10.0%UNDER AGE 18 11.0%PERCENT OF RESIDENTS ON MEDICAID 12.3%AGE POPULATION %OF TOTAL LESS THAN 18 221,444 24.7%18 TO 24 86,207 9.6%25 TO 44 255,766 28.4%45 TO 64 199,838 22.3%65+ 134,363 15.0%TOTAL 897,618 100.0%RACE POPULATION %OF TOTALWHITE 583,452 65.0%HISPANIC 143,619 16.0%BLACK 107,714 12.0%ASIAN/PACIFIC ISLANDER 35,905 4.0%OTHER/2+ RACES 17,952 2.0%AM. IND/ALASKA NAT 8,976 1.0%TOTAL 897,618 100.0%FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREASAPPROXIMATE % OF PATIENTS FROM MEDICALLY UNDERSERVED AREAS: 13.6%COUNTY # OF CENSUS TRACTS* TOTAL CENSUS TRACTS % OF TOTALDOUGLAS 36 156 23.1%SARPY 12 43 27.9%POTTAWATTAMIE 3 30 10.0%TOTAL 51 229 22.2%*CENSUS TRACT IS A GEOGRAPHICAL DIVISION OF 500 TO 3,000 HOUSEHOLDS
PART VI, LINE 5:PROUDLY SERVING CHILDREN SINCE 1948, CHILDREN'S MISSION IS TO IMPROVE THE LIFE OF EVERY CHILD THROUGH DEDICATION TO EXCEPTIONAL CLINICAL CARE, RESEARCH, EDUCATION AND ADVOCACY.CHILDREN'S CENTER FOR COMMUNITY HEALTH & ADVOCACY 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. A LEADER IN PEDIATRIC HEALTH CARE, CHILDREN'S CONDUCTED MORE THAN 500,000 VISITS IN 2024. CHILDREN'S OFFERS UNIQUE RESOURCES TO CHILDREN ACROSS A THREE-STATE REGION AND BEYOND, AND IS THE ONLY FULL-SERVICE, PEDIATRIC HEALTH CARE CENTER IN NEBRASKA. IN ADDITION TO TRADITIONAL HOSPITAL-BASED SERVICES, SOME OF THE OTHER PROGRAMS AND SERVICES CHILDREN'S OFFERS TO PATIENTS ARE BEHAVIORAL HEALTH, REHAB SERVICES, HOME HEALTH, URGENT CARE, WEIGHT & WELLNESS, AND SPECIALTY CARE CLINICS. IN ADDITION, CHILDREN'S OFFERS PALLIATIVE CARE, FAMILY RESOURCES, CHILD LIFE SPECIALISTS, PASTORAL CARE, SOCIAL WORKERS, NURSE CASE MANAGERS, INTERPRETERS, FINANCIAL COUNSELORS, PATIENT ADVOCATES, AND OTHER PROGRAMS TO ENHANCE THE PATIENT EXPERIENCE.CHILDREN'S HAS ACHIEVED THE MAGNET DESIGNATION FOR NURSING EXCELLENCE, AND ITS PEDIATRIC AND NEONATAL INTENSIVE CARE UNITS HAVE EARNED A BEACON AWARD FOR EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, WHICH RECOGNIZES CRITICAL CARE UNITS WITH EXCELLENT PATIENT OUTCOMES THAT EXCEED NATIONAL BENCHMARKS. CHILDREN'S HAS BEEN NAMED BY U.S. NEWS & WORLD REPORT AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS, NATIONALLY RANKED IN NEPHROLOGY AND PULMONOLOGY & LUNG SURGERY. U.S. NEWS RECOGNIZES HOSPITALS WITH EXCELLENT SURVIVAL RATES, PATIENT SAFETY, SPECIALIZED STAFF, AND HOSPITAL REPUTATION. ALL OF THE CHILDREN'S PHYSICIANS PRIMARY CARE OFFICES HAVE ACHIEVED THE HIGHEST NCQA PATIENT CENTERED MEDICAL HOME (PCMH) CERTIFICATION. A PEDIATRIC AFFILIATION ESTABLISHED BETWEEN CHILDREN'S AND THE UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF MEDICINE (UNMC) SUPPORTS ENHANCEMENTS IN PEDIATRIC EDUCATION, RESEARCH, AND CLINICAL CARE. CHILDREN'S SERVES AS THE PRIMARY ACADEMIC MEDICAL TRAINING LOCATION FOR THE UNMC DEPARTMENT OF PEDIATRICS.IN 2024, CHILDREN'S PROVIDED MORE THAN $232 MILLION IN COMMUNITY BENEFITS, REPRESENTING 34% OF THE HOSPITAL'S OPERATING EXPENSES. TOTAL COMMUNITY BENEFITS PROVIDED IN 2024 INCLUDED THE FOLLOWING:- PROVIDED $7.2 MILLION IN FINANCIAL ASSISTANCE TO FAMILIES UNABLE TO PAY. WITH 47% OF PATIENT CARE REVENUES DEVOTED TO THE CARE OF LOW-INCOME CHILDREN ASSISTED BY MEDICAID, THE FY 2024 SHORTFALL BETWEEN MEDICAID REIMBURSEMENT AND THE COST OF PROVIDING CARE WAS $86.3 MILLION.- CONTRIBUTED $7.1 MILLION TOWARDS COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS AIMED AT PROMOTING HEALTH AND PREVENTING ILLNESS AND INJURY MADE AVAILABLE THROUGH INJURY PREVENTION, OBESITY PREVENTION, OUTREACH EDUCATIONAL CLASSES, HEALTH FAIRS, AND THE CONSUMER WEBSITE. CHILDREN'S GIVES BACK TO THE COMMUNITY THROUGH ADVOCACY SERVICES WHICH ARE AVAILABLE TO ANYONE SUSPECTING CHILD ABUSE OR NEGLECT, AND LODGING FOR FAMILIES OF OUT-OF-TOWN PATIENTS IS OFFERED AT THE CAROLYN SCOTT RAINBOW HOUSE AT NO COST.- CONTRIBUTED $38.3 MILLION IN PEDIATRIC HEALTH CARE EDUCATION COSTS TO EDUCATE TOMORROW'S HEALERS.- PROVIDED $5.2 MILLION IN SUBSIDIZED HEALTH SERVICES PROVIDING BOTH HOME HEALTH AND BEHAVIORAL HEALTH SERVICES.- CONTRIBUTED $12.1 MILLION IN FUNDING FOR RESEARCH.- PROVIDED $76.7 MILLION IN CASH AND IN-KIND DONATIONS/SPONSORSHIPS TO BENEFIT THE BROADER COMMUNITY.
PART VI, LINE 6:THE HOSPITAL IS NOT AFFILIATED WITH A GREATER HEALTH CARE SYSTEM, BUT IS ITS OWN HEALTH CARE SYSTEM WHICH THE HOSPITAL OPERATES THE FOLLOWING RELATED ORGANIZATIONS:- CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION- CHILDREN'S PHYSICIANS- CHILDREN'S HEALTH NETWORK- BRIGHT FOUNDRY, LLC
PART VI, LINE 7, REPORTS FILED WITH STATESNE
PART VI, LINE 7THE CHILDREN'S HOSPITAL & MEDICAL CENTER COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF NEBRASKA THROUGH THE NEBRASKA HOSPITAL ASSOCIATION, AND IS AVAILABLE TO THE PUBLIC ON THE WEBSITE AT:HTTPS://WWW.CHILDRENSNEBRASKA.ORG/COMMUNITY-HEALTH-AND-ADVOCACY/COMMUNITY-BENEFIT-AND-ENGAGEMENT

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
985520 NE MED CTROMAHANE68198470049123501(C)(3)$3,000,000$0RESEARCH AND SUPPORT FOR MED SCH
CEDARS YOUTH SERVICES INC
6601 PIONEERS BLVDLINCOLNNE68506470551975501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
NEBRASKA DIAPER BANK
9100 F STOMAHANE68127474953614501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
COMPLETELY KIDS
2566 ST MARYS AVEOMAHANE68105275111197501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
NELSON MANDELA ELEMENTARY SCHOOL INC
6316 N 30TH STOMAHANE68111471348136501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
FOUNDATION FOR LINCOLN PUBLIC SCHOOLS
5905 O STLINCOLNNE68501363490560501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
THE VALLEY CHILD DEVELOPMENT CENTER
500 WEST A AVERED CLOUDNE68970811174755501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
LENDING LINK
4706 S 24TH STOMAHANE68107832198837501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
BIG BROTHERS BIG SISTERS OF MIDLANDS
1209 HARNEY STOMAHANE68102470466144501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
LEGAL AID OF NEBRASKA
209 S 19TH STOMAHANE68102470483506501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
RESTORING DIGNITY
3260 DAVENPORT STOMAHANE68131824375187501(C)(3)$15,000$0PREVENTION OF CHILDHOOD OBESITY
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFINANCIAL ASSISTANCE TO PATIENTS IN NEEDGrantTypeTxt
Recipient4852RecipientCnt
Cash Grant$16,983,355CashGrantAmt
Valuation Method UsedBOOKValuationMethodUsedDesc
Non Cash AssistanceWRITEOFF PATIENT ACCOUNTSNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHANDA CHACON
PRESIDENT & CEO$1,114,762$0$434,981$0$208,030$0$422,331$0$15,357$0$2,195,461$0$160,000$0
CHRISTOPHER MALONEY MD
EVP CHIEF CLINICAL OFFICER$620,218$0$214,514$0$231,900$0$115,155$0$432$0$1,182,219$0$171,777$0
AMY HATCHER
EVP & CFO$575,887$0$185,451$0$180,219$0$113,775$0$8,549$0$1,063,881$0$128,507$0
ERIN WILLIS-LOUCKS MD
PHYSICIAN$929,713$0$26,250$0$4,093$0$26,850$0$25,668$0$1,012,574$0$0$0
KATHY ENGLISH
EVP & COO$589,834$0$181,130$0$129,745$0$30,150$0$7,933$0$938,792$0$0$0
JEROLD VUCHAK
EVP CHIEF INFO & INNOV OFFICER$449,337$0$129,537$0$128,582$0$91,575$0$9,459$0$808,490$0$76,512$0
JANEL ALLEN
EVP & CHIEF PEOPLE OFFICER$409,957$0$125,872$0$75,575$0$86,220$0$16,071$0$713,695$0$41,059$0
AMY BONES
SVP & GENERAL COUNSEL$409,179$0$121,742$0$93,583$0$23,550$0$9,424$0$657,478$0$0$0
PAM JOHNSON-CARLSON
SVP PCS & CNO$402,863$0$119,438$0$69,170$0$30,150$0$9,399$0$631,020$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACHANDA CHACON'S SOCIAL CLUB DUES WERE PAID FOR BY THE ORGANIZATION TO BE USED FOR BUSINESS PURPOSES.
PART-I LINE-4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN DURING 2024. THE AMOUNTS OF DEFERRED COMPENSATION DISTRIBUTED AND ACCRUED FOR EACH OF THE INDIVIDUALS DURING 2024 ARE AS FOLLOWS: CHANDA CHACON - $229,000 ACCRUAL, $181,290 PLAN DISTRIBUTION CHRISTOPHER MALONEY - $94,905 ACCRUAL, $197,450 PLAN DISTRIBUTION KATHY ENGLISH - $92,265 ACCRUAL, $93,587 PLAN DISTRIBUTION AMY HATCHER - $90,225 ACCRUAL, $148,424 PLAN DISTRIBUTION AMY BONES - $52,116 ACCRUAL, $54,867 PLAN DISTRIBUTION JEROLD VUCHAK - $71,325 ACCRUAL, $88,108 PLAN DISTRIBUTION JANEL ALLEN - $65,970 ACCRUAL, $46,523 PLAN DISTRIBUTION PAM JOHNSON-CARLSON - $48,672 ACCRUAL, $49,453 PLAN DISTRIBUTION

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmt
A$74,720,000$100,892,290$751,783$24,826$2,755,000$97,360,6812008Yes (1)0Yes (1)Yes (1)
B$104,280,765$1,064,167$103,216,598202100Yes (1)Yes (1)
C$16,065,000$26,885,000$305,601$26,579,3992008Yes (1)0Yes (1)Yes (1)
D$5,455,000$109,498,595$1,132,344$90,024,355$18,331,8072021Yes (1)0Yes (1)Yes (1)$10,089

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4SYNOPSIS OF CHANGES TO THE HOSPITAL'S BYLAWS: 1. ARTICLE V, SECTION 1(A) - ELEVATED STRATEGY COMMITTEE DUTIES TO FULL BOARD. 2. ARTICLE V, SECTION 4(D) - ADDED FLEXIBILITY TO NEW BOARD MEMBER TERM COMMENCEMENT DATE. 3. ARTICLE VIII, SECTION 1(A) - REMOVED SEPARATE STRATEGY COMMITTEE. 4. ARTICLE VIII, SECTION 1(H) - CLARIFIED NON-VOTING STATUS OF QPSC PARENT REPRESENTATIVE. 5. ARTICLE VIII, SECTION 8 - REMOVED SEPARATE STRATEGY COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11BGOVERNANCE, MANANGEMENT, AND DISCLOSURE A COMPLETE COPY OF THE FORM 990, EXCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, IS MADE AVAILABLE TO THE HOSPITAL BOARD OF DIRECTORS VIA THE BOARDVANTAGE BOARD PORTAL PRIOR TO FILING WITH THE IRS. A COMPLETE COPY OF THE FORM 990, INCLUDING PART VII AND SCHEDULE J - COMPENSATION INFORMATION, IS REVIEWED WITH THE COMPENSATION & HUMAN RESOURCES COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS AT ITS NOVEMBER MEETING.
FORM 990, PART VI, SECTION B, LINE 12CPOLICIES THE CONFLICT OF INTEREST POLICY APPLIES TO ANY PERSON IN A POSITION TO EXERCISE INFLUENCE IN CONNECTION WITH ANY CONTRACT, TRANSACTION OR ARRANGEMENT PRESENTED TO THE BOARD OR A BOARD COMMITTEE FOR APPROVAL (COVERED PERSON). COVERED PERSON INCLUDES (BUT IS NOT LIMITED TO) ANY DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWER, OR KEY EMPLOYEE/STAFF. ALL COVERED PERSONS MUST ANNUALLY SUBMIT A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE IN THE FORMAT PRESCRIBED BY THE GOVERNANCE COMMITTEE FROM TIME TO TIME. EACH COVERED PERSON SHALL ANNUALLY ACKNOWLEDGE IN WRITING THAT HE OR SHE (A) HAS RECEIVED A COPY OF THE POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THE POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO THE BOARD AND COMMITTEES; (E) UNDERSTANDS THAT CHILDREN'S IS A NOT-FOR-PROFIT ORGANIZATION THAT MUST ENGAGE PRIMARILY IN EXEMPT ACTIVITIES; (F) AGREES TO PROMPTLY REPORT TO THE CHAIR OF THE GOVERNANCE COMMITTEE, AND CHILDREN'S GENERAL COUNSEL ANY CHANGE TO MATTERS PREVIOUSLY DISCLOSED ON THE CONFLICT OF INTEREST QUESTIONNAIRE; AND (G) STATES THAT THE INFORMATION HE OR SHE WILL PROVIDE IN THE CONFLICT OF INTEREST QUESTIONNAIRE IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND BELIEF. A COVERED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST OR ANY SITUATIONS THAT COULD CREATE AN APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES OR WHENEVER IT INVOLVES A MATTER OF BOARD/COMMITTEE ACTION. DISCLOSURE MEANS PROMPTLY PROVIDING THE MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO THE CHAIR OF THE GOVERNANCE COMMITTEE AND CHILDREN'S GENERAL COUNSEL (IN WRITING IF TIME ALLOWS) OR TO THE BOARD OR BOARD COMMITTEE REVIEWING THE CONTRACT, TRANSACTION OR ARRANGEMENT. THE GOVERNANCE COMMITTEE WILL BE CONVENED TO CONSIDER THE DISCLOSURE. CERTAIN CIRCUMSTANCES, IN ADDITION TO FINANCIAL INTERESTS, COULD GIVE RISE TO A POTENTIAL CONFLICT OF INTEREST, INCLUDING INSTANCES WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF CHILDREN'S ALSO INVOLVE OBTAINING A PERSONAL GAIN OR ADVANTAGE, OR COULD HAVE AN ADVERSE EFFECT ON CHILDREN'S INTERESTS. A COVERED PERSON MUST ALSO MAKE A DISCLOSURE WHENEVER HE OR SHE HAS A PERSONAL, NON-FAMILIAL RELATIONSHIP THAT COULD IMPACT, OR APPEAR TO IMPACT, THE BOARD MEMBER'S ABILITY TO EXERCISE THEIR INDEPENDENT JUDGMENT IN CARRYING OUT THE DIRECTOR'S FIDUCIARY RESPONSIBILITIES. ALSO, DISCLOSING OR USING INFORMATION RELATING TO CHILDREN'S BUSINESS FOR THE PERSONAL PROFIT OR ADVANTAGE OF AN INDIVIDUAL OR HIS OR HER FAMILY, OR OTHER COLLEAGUES OF THE DIRECTOR, OR DISCLOSING MATTERS DISCUSSED DURING BOARD OR COMMITTEE MEETINGS, COULD GIVE RISE TO A CLAIM OF CONFLICT AND MUST NOT OCCUR. A POTENTIAL CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST, DOES NOT NECESSARILY RISE TO THE LEVEL OF AN ACTUAL CONFLICT OF INTEREST, BUT ONCE RECOGNIZED, IT MUST IN EVERY CASE BE DISCLOSED AND EVALUATED. THE GOVERNANCE COMMITTEE WILL CONSIDER THE FOLLOWING FACTORS, AMONG OTHER RELEVANT FACTS, WHEN DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS: (I) THE PROXIMITY OF THE COVERED PERSON TO THE DECISION-MAKING AUTHORITY OF THE OTHER ENTITY INVOLVED IN THE TRANSACTION OR BUSINESS ARRANGEMENT; (II) THE MAGNITUDE OF THE FINANCIAL INTEREST OR PERSONAL INTEREST; (III) THE DEGREE TO WHICH THE COVERED PERSON MIGHT BENEFIT PERSONALLY IF A PARTICULAR TRANSACTION OR BUSINESS ARRANGEMENT WERE APPROVED; (IV) THE ABILITY OF THE COVERED PERSON TO MAKE AN INDEPENDENT DECISION BASED ONLY ON THE BEST INTEREST OF CHILDREN'S; AND (V) SUCH OTHER FACTORS THAT MAY BE RELEVANT TO THE PARTICULAR MATTER. THE GOVERNANCE COMMITTEE SHALL REVIEW EACH COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE, AND MAY MAKE SUCH FURTHER INVESTIGATION OF POTENTIAL CONFLICTS AS IT MAY DETERMINE APPROPRIATE. THE GOVERNANCE COMMITTEE SHALL MAKE APPROPRIATE REPORTS TO THE BOARD CONCERNING ITS REVIEW, ANY FURTHER INVESTIGATION, AND ITS RECOMMENDATIONS TO THE BOARD REGARDING ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST, OR ANY APPEARANCE OF A CONFLICT OF INTEREST. WHENEVER A COVERED PERSON (OR A PERSON OTHER THAN THE COVERED PERSON) VOLUNTARILY IDENTIFIES OR DISCLOSES A POTENTIAL CONFLICT OF INTEREST, THE GOVERNANCE COMMITTEE SHALL FOLLOW THE SAME PROCEDURE OUTLINED ABOVE. TRANSACTIONS OR BUSINESS ARRANGEMENTS WITH COVERED PERSONS WITH CONFLICTS OF INTEREST MUST BE APPROVED IN ADVANCE BY A MAJORITY OF INDEPENDENT DIRECTORS, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN CHILDREN'S BEST INTEREST, IS FAIR AND REASONABLE TO CHILDREN'S AND THAT, AFTER REASONABLE INVESTIGATION, THE INDEPENDENT DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. THE CONFLICTED DIRECTOR WILL RECUSE HIMSELF/HERSELF. IN CASES IN WHICH A COVERED PERSON HAS AN INTEREST OR A RELATIONSHIP THAT CALLS INTO QUESTION THE ABILITY OF THE COVERED PERSON TO ACT SOLELY IN CHILDREN'S BEST INTERESTS, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN, AT THE DISCRETION OF THE BOARD OR THE GOVERNANCE COMMITTEE: (A) THE COVERED PERSON WILL BE REQUIRED TO LEAVE THE MEETING FOR THE GENERAL DISCUSSION OF THE MATTER AND THE BOARD VOTE; (B) THE GOVERNANCE COMMITTEE CAN RECOMMEND TO THE BOARD THAT A DIRECTOR OR A MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS BE ASKED TO RESIGN IN THE EVENT A CONFLICT OF INTEREST IS SO SUBSTANTIAL THAT IT WOULD BE INCOMPATIBLE WITH CHILDREN'S BEST INTERESTS TO HAVE SUCH AN INDIVIDUAL ON ITS BOARD/COMMITTEE. IF THE BOARD/COMMITTE BELIEVES A COVERED PERSON HAS FAILED TO COMPLY WITH THIS POLICY, THE BOARD SHALL INFORM THAT PERSON OF THE BASIS FOR ITS BELIEF AND GIVE THAT PERSON AN OPPORTUNITY TO ADDRESS THE ALLEGED FAILURE. AFTER HEARING THE RESPONSE AND CONDUCTING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD/COMMITTEE SHALL DETERMINE WHETHER SUCH PERSON HAS, IN FACT, VIOLATED THE DISCLOUSRE REQUIREMENTS OF THE POLICY. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WHICH MAY INCLUDE REMOVAL FROM THE BOARD. AT ANY BOARD/COMMITTEE MEETING AT WHICH A CONFLICT OF INTEREST ISSUE IS ADDRESSED, THE MINUTES OF THE BOARD/COMMITEE MEETING SHALL REFLECT THE PROCESS THAT WAS FOLLOWED AND THE ACTIONS TAKEN BY THE BOARD/COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15LINE 15A AND 15B POLICIES EACH YEAR AN INDEPENDENT COMPANY CONDUCTS A MARKET ANALYSIS OF EXECUTIVE COMPENSATION. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE. AN INDEPENDENT COMPANY ISSUES AN ANNUAL REASONABLENESS OPINION LETTER REGARDING THE APPROPRIATENESS OF THE EXECTUTIVE PAY LEVELS. THE COMPENSATION COMMITTEE IS A SUB-COMMITTEE OF THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE REVIEWS BASE PAY RANGES FOR ALL EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, ALL EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND VICE PRESIDENTS. THE BOARD OF DIRECTORS RECEIVES A REPORT FROM THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19GOVERNANCE, MANAGEMENT, AND DISCLOSURE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. THE CHILDREN'S HOSPITAL & MEDICAL CENTER AND AFFILIATES AUDITED FINANCIAL STATEMENTS CAN BE OBTAINED THROUGH PUBLICLY AVAILABLE SOURCES SUCH AS EMMA.MSRB.ORG.
FORM 990, PART XI, LINE 9:CAPITAL TRANSFERS FROM THE FOUNDATION 12,240,751. TEMP RESTRICTED CONTRIBUTIONS 33,926,936. CAPITAL TRANSFERS TO CHILDREN'S HEALTH NETWORK -449,993. CONTRIBUTION OF ASSET 5,935,151.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BRIGHT FOUNDRY LLCBusinessNameLine1Txt

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHMCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CHILDREN'S HOSPITAL FOUNDATION
8200 DODGE STREETOMAHANE68114476105603FUNDRAISINGNE501(C)(3)LINE 7CHMCYes (1)
CHILDREN'S PHYSICIANS
8200 DODGE STREETOMAHANE68114470689372PED CLINICSNE501(C)(3)LINE 10CHMCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmt
KENT INC
8200 DODGE STREETOMAHANE68114470527928REAL ESTATENECHMCC$219,4951.00000Yes (1)
CHILDREN'S HEALTH NETWORK
8200 DODGE STREETOMAHANE68114363967578HEALTH NETWORKNECHMCC1.00000Yes (1)-$449,993
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOSPITAL FOUNDATION
C$14,092,429BOOK
CHILDREN'S HOSPITAL FOUNDATION
L$293,693BOOK
CHILDREN'S PHYSICIANS
L$2,482,608BOOK
CHILDREN'S HOSPITAL FOUNDATION
S$12,240,751BOOK