CIMRO OF NEBRASKA: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CIMRO OF NEBRASKA (EIN 48-1292876)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-14
- IRS object ID
- 201221359349303992
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T13:54:44-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371119790 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN HOOD FRIESE & ASSOC LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2507 SOUTH NEIL STREET | AddressLine1 |
| City | CHAMPAIGN | City |
| State | IL | State |
| ZIP Code | 61820 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481292876 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIMRO OF NEBRASKA CO CIMRO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CIMR | NameControl |
| Phone | 2173521060 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2902 CROSSING CT NO C | AddressLine1 |
| City | CHAMPAIGN | City |
| State | IL | State |
| ZIP Code | 61822 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TINA GEORGY | Name |
| Title | CEO | Title |
| Phone | 2173521060 | Phone |
| Date Signed | 2012-03-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMANDA ALT CPA | Name |
| PTIN | P00543797 | PTIN |
| Phone | 2173512000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TINA GEORGY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2902 CROSSING COURT SUITE C | AddressLine1 |
| City | CHAMPAIGN | City |
| State | IL | State |
| ZIP Code | 61822 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5810896 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 3980 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | WWW.CIMRONEBRASKA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION IS TO ENSURE THE QUALITY, EFFECTIVENESS, EFFICIENCY AND ECONOMY OF HEALTHCARE SERVICES PROVIDED TO NEBRASKA MEDICARE BENEFICIARIES. OUR VISION IS TO MAKE HEALTHCARE IN NEBRASKA THE NATION'S BEST. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 49 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4342016 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5810703 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1148 | InvestmentIncomePriorYear |
| Investment Income Current Year | 193 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4343164 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5810896 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2084859 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3250969 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2409701 | OtherExpensePriorYear |
| Other Expenses Current Year | 2283699 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4494560 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5534668 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -151396 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 276228 | RevenuesLessExpensesCY |
| Total Assets BOY | 1168921 | TotalAssetsBOY |
| Total Assets EOY | 1555497 | TotalAssetsEOY |
| Total Liabilities BOY | 845725 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 956073 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 323196 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 599424 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION IS TO ENSURE THE QUALITY, EFFECTIVENESS, EFFICIENCY AND ECONOMY OF HEALTHCARE SERVICES PROVIDED TO NEBRASKA MEDICARE BENEFICIARIES. OUR VISION IS TO MAKE HEALTHCARE IN NEBRASKA THE NATION'S BEST. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | QUALITY IMPROVEMENT ORGANIZATION WORKING WITH MEDICARE RECIPIENTS AND THEIR HEALTHCARE PROVIDERS WITHIN THE STATE OF NEBRASKA. POPULATION SERVED: 277,442 MEDICARE BENEFICIARIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | REGIONAL EXTENSION CENTER WORKING WITH NEBRASKA HEALTH CARE PROVIDERS TO IMPLEMENT ELECTRONIC HEALTH RECORDS TO ACHIEVE MEANINGFUL USE. POPULATION SERVED 1.8 MILLION NEBRASKANS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 28 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 49 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE OVERSTREET | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2173521060 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2902 CROSSING COURT SUITE C | AddressLine1 |
| City | CHAMPAIGN | City |
| State | IL | State |
| ZIP Code | 61820 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| SHAUN R MEYER RN | ||||||
| MEMBER | 1.00 | X | 1000 | 0 | 0 | |
| KIM MOORE RN MS | ||||||
| MEMBER | 1.00 | X | 1300 | 0 | 0 | |
| KENNETH J PRINTEN MD | ||||||
| VICE CHAIR | 1.00 | X | 1925 | 0 | 0 | X |
| PATRICIA SNYDER NHA | ||||||
| SECRETARY/TREASURER | 1.00 | X | 1175 | 0 | 0 | X |
| RICHARD A BLATNY SR MD | ||||||
| CHAIR | 1.00 | X | 1100 | 0 | 0 | X |
| LOIS HESS RNC CSA | ||||||
| MEMBER | 1.00 | X | 1800 | 0 | 0 | |
| E COLENE HANCE MS | ||||||
| MEMBER | 1.00 | X | 1500 | 0 | 0 | |
| RONALD JOHNSON MD FAAFP | ||||||
| MEMBER | 1.00 | X | 1500 | 0 | 0 | |
| HELENE LOHMAN OTD OTRL | ||||||
| MEMBER | 1.00 | X | 1250 | 0 | 0 | |
| CELINE MLADY RN BSN | ||||||
| MEMBER | 1.00 | X | 1000 | 0 | 0 | |
| JEFFRY STROHMYER MD | ||||||
| MEMBER | 1.00 | X | 1500 | 0 | 0 | |
| HEATH BODDY | ||||||
| MEMBER | 1.00 | X | 1000 | 0 | 0 | |
| TINA GEORGY RN MS | ||||||
| CHIEF EXECUTIVE OFFICER | 45.00 | 0 | 191913 | 28287 | X | |
| JULIA OVERSTREET CPA | ||||||
| CHIEF FINANCIAL OFFICER | 35.00 | 0 | 106674 | 20351 | X | |
| GREG SCHIEKE MBA | ||||||
| SENIOR VICE PRESIDENT | 46.00 | 150579 | 0 | 22575 | X | |
| AUDREY PAULMAN MD MMM | ||||||
| PRINCIPAL CLINICAL COORDIN | 17.00 | 93000 | 0 | 0 | X | |
| GEORGE VOIGHTLANDER MD FAAFP | ||||||
| MEDICAL DIRECTOR | 7.00 | 49881 | 0 | 0 | X | |
| BOB R RAUNER III MD MPH FAAFP | ||||||
| PRINCIPAL CLINICAL COORDIN | 16.00 | 91683 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 401193 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 298587 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 71213 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BASS & ASSOCIATES | |||||
| 6825 PINE STREET 354 MSC6 | OMAHA | NE | 68106 | STAFF LEASING | 657678 |
| UNIVERSITY OF NEBRASKA LINCOLN | |||||
| 215 CENTENNIAL MALL SOUTH | LINCOLN | NE | 68588 | GRANT SUBRECIPIENT | 153508 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT CARE REVIEW | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 5810703 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5810703 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5810703 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 193 | TotalRevenueColumn |
| Exclusion | $193 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5810896 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5810703 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $193 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 434006 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2176988 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175041 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275447 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189487 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9371 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9641 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27901 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105155 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114625 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46297 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19071 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4559 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| PHYSICIANS AND MEDICAL | 991962 |
| ADMINISTRATIVE SERVICES | 689065 |
| MISCELLANEOUS EXPENSE | 117707 |
| SUPPLIES AND EQUIPMENT | 49461 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98884 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5534668 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 360218 | BOY |
| EOY | 241972 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50000 | BOY |
| EOY | 250000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 489510 | BOY |
| EOY | 494043 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5849 | BOY |
| EOY | 4459 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 195294 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 116513 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74843 | BOY |
| EOY | 78781 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188501 | BOY |
| EOY | 486242 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1168921 | BOY |
| EOY | 1555497 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 481549 | BOY |
| EOY | 158527 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183002 | BOY |
| EOY | 533180 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181174 | BOY |
| EOY | 264366 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 845725 | BOY |
| EOY | 956073 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323196 | BOY |
| EOY | 599424 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 323196 | BOY |
| EOY | 599424 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1168921 | BOY |
| EOY | 1555497 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 276228 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 195294 | OtherCostOrOtherBasis |
| Depreciation | 116513 | Depreciation |
| Book Value | 78781 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 78781 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST RECEIVABLE | 8 |
| UNBILLED EARNED REVENUE | 486234 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 486242 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PAYROLL AND PAYROLL TAXES | $163,925 |
| ACCRUED COMPENSATED ABSENCES | $100,441 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 264366 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TINA GEORGY RN MS | |||||||||||||
| 0 | 191913 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28287 | 0 | 220200 | 0 | 0 |
| GREG SCHIEKE MBA | |||||||||||||
| 150579 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22575 | 0 | 173154 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | CIMRO PROVIDES MANAGEMENT SERVICES TO CIMRO OF NEBRASKA (CIMRO-NE) UNDER A CONTRACTUAL AGREEMENT WHICH INCLUDES THE SERVICES OF CEO, CFO, ALL FINANCE/HUMAN RESOURCE ASSISTANCE, PROFESSIONAL LIABILITY INSURANCE, INTRANET SERVICES, AND AUDIT. | |
| FORM 990, PART VI, SECTION A, LINE 4 | UPON REVIEW OF THE CORPORATE COMPLIANCE PROGRAM THAT WAS REVISED SEPTEMBER 26, 2010, BY-LAWS AND THE BOARD POLICY ON FINANCIAL WHISTLE-BLOWER COMPLAINTS WERE UPDATED SUCH THAT THE FINANCE AND COMPLIANCE COMMITTEE, RECEIVES ALL COMPLAINTS OR GRIEVANCES FROM EMPLOYEES IN A CONFIDENTIAL AND/OR ANONYMOUS MANNER WHO, FOR WHATEVER REASON, ARE UNWILLING TO MAKE SUCH COMPLAINTS TO THE CEO OR CFO, INCLUDING, BUT NOT LIMITED TO MATTERS REGARDING ACCOUNTING, INTERNAL ACCOUNTING CONTROLS OR AUDITING MATTERS. THIS CHANGE ALIGNS WITH THE ROLES/FUNCTIONS THAT THE FINANCE AND COMPLIANCE COMMITTEE OPERATES WITHIN UNDER THE COMPLIANCE PROGRAM. BY BOARD POLICY, ANY SUCH COMPLAINTS WOULD BE INVESTIGATED AND EACH MATTER SO REPORTED TO THE FULL BOARD WITH RECOMMENDED CORRECTIVE AND DISCIPLINARY ACTIONS, IF APPROPRIATE. ADDITIONAL CHANGES TO THE OFFICERS OF THE CORPORATION TO PROVIDE FOR ONE OR MORE INDIVIDUALS TO SERVE IN THE POSITION OF PRINCIPAL CLINICAL COORDINATOR/MEDICAL DIRECTOR. | |
| FORM 990, PART VI, SECTION A, LINE 6 | CIMRO-NE HAS CORPORATE AND INDIVIDUAL MEMBERS. THERE ARE APPROXIMATELY 1640 INDIVIDUAL MEMBERS COMPRISED OF HEALTHCARE PRACTITIONERS AND PROVIDERS WHO ARE INTERESTED IN THE IMPROVEMENT OF HEALTHCARE DELIVERY IN NEBRASKA. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THERE ARE TWO CLASSES OF MEMBERS, THE CORPORATE MEMBER AND INDIVIDUAL MEMBERS. ONLY THE CORPORATE MEMBER HAS VOTING RIGHTS. THE CORPORATE MEMBER, CIMRO, ELECTS THE GOVERNING BODY MEMBERS FOR CIMRO-NE. CIMRO PROVIDES TWO MEMBERS OF THE CIMRO-NE BOARD. | |
| FORM 990, PART VI, SECTION A, LINE 7B | BY-LAWS AND ARTICLES OF INCORPORATION MAY ONLY BE APPROVED, ADOPTED, AMENDED OR REPEALED BY CIMRO, THE CORPORATE MEMBER. ALSO NEBRASKA BOD COMPENSATION AND ELECTION OF THE CIMRO-NE BOD IS SUBJECT TO APPROVAL OF THE CORPORATE MEMBER. THE BY-LAWS PROVIDE THAT THE CEO AND CFO SHALL BE PROVIDED TO CIMRO-NE BY THE CORPORATE MEMBER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FINANCE/COMPLIANCE COMMITTEE REVIEWS A DRAFT OF FORM 990 PLUS A DRAFT OF THE AUDITED FINANCIAL STATEMENTS PRIOR TO FINALIZING EITHER DOCUMENT AND HAS THE OPPORTUNITY TO ASK QUESTIONS OF THE FIRM PREPARING THE DOCUMENTS. THE FULL BOD RECEIVES COPIES OF BOTH FORM 990 (BEFORE IT IS FILED) AND THE AUDITED FINANCIAL STATEMENTS AT ITS NEXT MEETING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL EMPLOYEES RECEIVE AN ANNUAL REMINDER CONCERNING THE COI POLICY INDICATING THE CERTIFICATION AND ACCEPTANCE STATEMENT PREVIOUSLY SIGNED REMAINS IN FULL FORCE AND EFFECT. ADDITIONALLY, ON AN ANNUAL BASIS ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO COMPLETE THE ORGANIZATIONAL COI AND DISCLOSURE OF AFFILIATIONS FORM WHICH REQUIRES STAFF TO DISCLOSE ANY OUTSIDE EMPLOYMENT. ALSO, SHOULD AN EMPLOYEE CHANGE EXTERNAL POSITIONS AT ANY TIME DURING THE YEAR, THE EMPLOYEE MUST NOTIFY THEIR SUPERVISOR OF SUCH CHANGE ON A TIMELY BASIS TO ASSURE THAT NO COI HAS BEEN CREATED. A COI FORM MUST BE COMPLETED AND APPROVED BY THE SUPERVISOR AND CEO FOR EACH CHANGE IN EXTERNAL EMPLOYMENT. THE CEO OR COMPLIANCE COMMITTEE DESIGNEE REVIEW ALL COI FORMS AND IDENTIFY POTENTIAL OR KNOWN CONFLICTS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE CEO OR DESIGNEE WILL DETERMINE ANY NEEDED STEPS TO ADDRESS THE CONFLICT. THE POTENTIAL COI IS DISCUSSED WITH THE INDIVIDUAL WHO HAS IDENTIFIED A POTENTIAL CONFLICT. THE DISCUSSION IS DOCUMENTED ON THE FORM, AND IS RETURNED TO THE INDIVIDUAL WITH A MEMO NOTING THE DISCUSSION. | |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPARABILITY DATA IS OBTAINED FROM COMPDATA SURVEYS, SALARY.COM, VARIOUS BITS OF PUBLISHED DATA, BUT PRIMARILY OTHER SIMILAR BUSINESS ENTITIES FORM 990S. COMPENSATION OF CEO AND CFO IS PAID BY CIMRO AND THE WAGE DETERMINATION IS MADE BY THAT ENTITY. THE CIMRO-NE BOD GIVES FEEDBACK CONCERNING THE PERFORMANCE OF THE CEO AND CFO TO THE CIMRO BOD. COMPENSATION OF CIMRO-NE SVP IS DETERMINED BY CIMRO-NE. BOD: COMPARABILITY DATA OBTAINED FROM REVIEW OF SIMILAR BUSINESS ENTITIES FORMS 990 CONCERNING THE LEVEL OF REIMBURSEMENT MUST BE REVIEWED PERIODICALLY, THOUGH NOT LESS THAN EVERY 3 YEARS BY THE BOARD AND PROVIDED TO THE AUTHORIZED BODY, CIMRO, TO SUPPORT ANY ONGOING COMPENSATION AND ANY FUTURE MODIFICATION TO THE BOARD COMPENSATION ARRANGEMENT. CIMRO, THE PARENT COMPANY, AS THE AUTHORIZED BODY, REVIEWS AND MUST RATIFY OR DISAPPROVE ANY CHANGES. SVP: COMPARABILITY DATA OBTAINED FROM REVIEW OF SIMILAR BUSINESS ENTITIES FORMS 990 CONCERNING THE LEVEL OF REIMBURSEMENT IS THE PRIMARY SOURCE OF INFORMATION. INFORMATION MAY ALSO BE PROVIDED FROM SALARY.COM. COMPDATA, VARIOUS NEWS ARTICLES, BLS, ETC. THE CEO EVALUATES THE PERFORMANCE OF THE SVP AND PROVIDES INFORMATION TO THE FINANCE & COMPLIANCE COMMITTEE, WHO REVIEWS THE INFORMATION AND MAKES A RECOMMENDATION TO THE BOD. THE BOD PROVIDES THE FINAL AUTHORIZATION. THE DECISION IS DOCUMENTED AND RECORDS ARE INCLUDED IN THE SVP PERSONNEL FILE. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORMS 8718 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE CODE OF BUSINESS CONDUCT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE WHICH ADDRESSES CONFLICT OF INTEREST, WHISTLE BLOWER ACTIONS, INTERACTIONS WITH CLIENTS, AND ETHICAL BEHAVIOR. A LISTING OF THE BOARD OF DIRECTORS ALONG WITH THEIR COMPENSATION INFORMATION IS ALSO AVAILABLE ON THEIR WEBSITE AS PUBLIC INFORMATION. | |
| FORM 990, PART VII, SECTION 1A, COLUMN B | ADDITIONAL AVERAGE HOURS WORKED FOR CIMRO (PARENT COMPANY) ARE: TINA GEORGY (CHIEF EXECUTIVE OFFICER) 8 HOURS/WEEK AND JULIE OVERSTREET (CHIEF FINANCIAL OFFICER) 8 HOURS/WEEK. | AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONS |
| FORM 990, PART XII, LINE 2C AUDIT COMMITTEE OVERSIGHT | NO CHANGES HAVE BEEN MADE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIMRO MEDICAL MANAGEMENT INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2902 CROSSING CT SUITE C | AddressLine1 |
| City | CHAMPAIGN | City |
| State | IL | State |
| ZIP Code | 61822 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364215011 | EIN |
| Primary Activity | INACTIVE | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |