NEBRASKA PEDIATRIC PRACTICE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA PEDIATRIC PRACTICE INC (EIN 26-3064869)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202043169349305564
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-11T16:12:23-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN263064869EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Nebraska Pediatric Practice IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% AMY HATCHERInCareOfNm
Business Name ControlNEBRBusinessNameControlTxt
Phone4029556795PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 Dodge StreetAddressLine1Txt
CityOmahaCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR ALAN TINGLEYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4029554116PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDONALD NEAL JRPreparerPersonNm
PTINP00798244PTIN
Phone4023481450PhoneNum
Preparation2020-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.206.0.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id47006120203165000000FederalOriginalSubmissionId
Federal Original Submission Id2020-11-11FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9C230E3C43A1AC01475832C9617E9CAF99CA9519AtSubmissionCreationDeviceId
At Submission Filing Device Id65CF9D49F64C2267637B54237ED8CC7527705457AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Children's Specialty PhysiciansBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerAlan Tingley MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 Dodge StreetAddressLine1Txt
CityOmahaCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$83,093,909GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.childrensomaha.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTo develop, promote and make available to children from Omaha, Nebraska, and the region, clinical services and other related programs.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee241TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,963,527PYContributionsGrantsAmt
CY Contributions Grants$619,374CYContributionsGrantsAmt
PY Program Service Revenue$56,242,893PYProgramServiceRevenueAmt
CY Program Service Revenue$59,886,350CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$19,785,776PYOtherRevenueAmt
CY Other Revenue$22,588,185CYOtherRevenueAmt
PY Total Revenue$79,992,196PYTotalRevenueAmt
CY Total Revenue$83,093,909CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$68,996,769PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$75,544,855CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$39,202,894PYOtherExpensesAmt
CY Other Expenses$49,253,894CYOtherExpensesAmt
PY Total Expenses$108,199,663PYTotalExpensesAmt
CY Total Expenses$124,798,749CYTotalExpensesAmt
PY Revenues Less Expenses-$28,207,467PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$41,704,840CYRevenuesLessExpensesAmt
Total Assets BOY$11,807,715TotalAssetsBOYAmt
Total Assets EOY$15,650,196TotalAssetsEOYAmt
Total Liabilities BOY$11,807,715TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,650,196TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionProvides a means whereby the resources, expertise, and knowledge of the pediatric specialty physicians can be marshaled to develop, promote, and make available to patients from Omaha, NE and the surrounding area, pediatric, academic, and clnical services and other programs and activities related thereto in order to achieve the physicians' common goals of improving the manner, process, environment, accessability, timing and other factors involved in the delivery of pediatric, academic, and clinical services in order to advance the health of the children within the region. Promote and support educational and teaching programs in children's health.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$118,150,578ExpenseAmt
Grant$0GrantAmt
Revenue$82,474,535RevenueAmt
DescTo provide collective resources, expertise and knowledge of pediatric specialty physicians to develop, promote and make available to children from Omaha, NE and the surrounding region, clinical services and other related programs and activities to achieve the goals of improving the manner, process, environment, accessibility, timing and other factors involved in the delivery of pediatric clinical services to advance the health of the children of the region.Desc
Total Program Service Expenses$118,150,578TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee241EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAMY HATCHERPersonNm
Phone4029556795PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18200 Dodge StreetAddressLine1Txt
CityOmahaCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68114ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
James Hammel MD
Clinical Service Chief40.00.0Yes (X)$1,942,459$0$0
Adam Conley MD
Physician40.00.0Yes (X)$959,394$0$0
Brian Hasley MD
Physician40.00.0Yes (X)$700,211$0$0
Ali Ibrahimiye MD
Physician40.00.0Yes (X)$691,748$0$0
Donny Suh MD
Physician40.00.0Yes (X)$681,444$0$0
Steve Burnham
Presdient40.00.0$512,262$0$80,576Yes (X)
Jessica Goeller MD
Vice Chairman/Physician40.00.0$518,948$0$0Yes (X)Yes (X)
Robert Spicer MD
Member/Physician40.00.0$373,926$0$0Yes (X)
Suzanne Haney MD
Chairman/Physician40.00.0$227,247$0$0Yes (X)Yes (X)
Anna Spagnoli MD
Member1.00.0$0$0$0Yes (X)
Michael Brown
Secretary/Treasurer1.00.0$0$0$0Yes (X)Yes (X)
Richard Azizkhan MD
Member thru 8/16/191.00.0$0$0$0Yes (X)
Michael McGlade
Member1.00.0$0$0$0Yes (X)
Bradley Britigan MD
Member1.00.0$0$0$0Yes (X)
Christopher Maloney M
Member1.00.0$0$0$0Yes (X)
Rodrigo Lopez
Member beg 8/16/191.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,607,639TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$80,576TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K178IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Children's Hospital Medical Cente
8200 Dodge StreetOmahaNE68114Operating agreemnet$36,404,836
Univ of NE Medical Center
988145 Nebraska Medical CenterOmahaNE68198Operating agreement$4,407,329
Comphealth Medical Staffing
PO Box 972651DallasTX75397Temporary staffing$4,286,726
Locumtenenscom
PO Box 405547AtlantaGA30384Temporary staffing$1,821,948
Huron Consulting Service LLC
3005 Momentum PlaceChicagoIL60689Consulting$1,507,538
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
All Other Contributions$619,374AllOtherContributionsAmt
Total Contributions$619,374TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621110$56,408,109$56,408,109
Other Program Services900099$3,478,241$3,478,241
FieldValueIRS element (for citing)
Total Program Service Revenue$59,886,350TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneous RevenueDesc
Business541900BusinessCd
Total Revenue Column$22,588,185TotalRevenueColumnAmt
Related Or Exempt Func Income$22,588,185RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$22,588,185OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$83,093,909TotalRevenueColumnAmt
Related Or Exempt Func Income$82,474,535RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,632,384TotalAmt
Program Services$1,632,384ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$65,145,999TotalAmt
Program Services$64,865,356ProgramServicesAmt
Management And General$280,643ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,932,578TotalAmt
Program Services$4,899,474ProgramServicesAmt
Management And General$33,104ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,013,983TotalAmt
Program Services$1,013,616ProgramServicesAmt
Management And General$367ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,819,911TotalAmt
Program Services$2,804,703ProgramServicesAmt
Management And General$15,208ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,722,932TotalAmt
Program Services$781,317ProgramServicesAmt
Management And General$2,941,615ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,069TotalAmt
Program Services$17,257ProgramServicesAmt
Management And General$3,812ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$76,390TotalAmt
Management And General$76,390ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,344,218TotalAmt
Program Services$31,117,897ProgramServicesAmt
Management And General$2,226,321ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,922TotalAmt
Program Services$4,922ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,162,634TotalAmt
Program Services$2,139,069ProgramServicesAmt
Management And General$23,565ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$198TotalAmt
Program Services$198ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,454,824TotalAmt
Program Services$2,454,257ProgramServicesAmt
Management And General$567ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$459,573TotalAmt
Program Services$453,578ProgramServicesAmt
Management And General$5,995ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$882,342TotalAmt
Program Services$727,354ProgramServicesAmt
Management And General$154,988ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Development support expense$3,718,612$3,470,815$247,797
PROFESSIONAL BUSINESS EXP$700,801$682,718$18,083
MEMBERSHIP DUES & SUB$611,300$551,046$60,254
PROVISION FOR BAD DEBT$83,074$83,074

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,011,005TotalAmt
Program Services$451,543ProgramServicesAmt
Management And General$559,462ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$124,798,749TotalAmt
Program Services$118,150,578ProgramServicesAmt
Management And General$6,648,171ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$777,480BOYAmt
EOY$3,326,958EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,870,825BOYAmt
EOY$11,850,402EOYAmt

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$176,552EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$138,437BOYAmt
EOY$152,076EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$51,362LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,389LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,973BOYAmt
EOY$20,973EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

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$0BOYAmt
EOY$123,235EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,807,715BOYAmt
EOY$15,650,196EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,711,046BOYAmt
EOY$15,195,696EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

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$96,669BOYAmt
EOY$454,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,807,715BOYAmt
EOY$15,650,196EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

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

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

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

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,807,715BOYAmt
EOY$15,650,196EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$41,704,840ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$41,704,840OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part I, Line 3FormAndLineReferenceDesc
ExplanationNebraska Pediatric Practice, Inc. (NPP) has checked line 3 on the schedule A as the IRS has recognized NPP as a tax exempt hospital under IRC Section 501(c)(3) and as a hospital under IRC Section 170(B)(1)(A)(III). Although NPP has been recognized as a hospital, it does not own or operate a licensed hospital. Therefore, a Schedule H has appropriately not been completed.ExplanationTxt

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,362OtherCostOrOtherBasisAmt
Depreciation$30,389DepreciationAmt
Book Value$20,973BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$20,973TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$316,669
CURRENT PORTION OF LEASE PAYME$114,230
LEASE/LOAN OBLIGATION$23,601
FieldValueIRS element (for citing)
Total Liability$454,500TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$83,093,909TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$83,093,909RevenueSubtotalAmt
Total Revenue Per Form990$83,093,909TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$124,798,749TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$124,798,749ExpensesSubtotalAmt
Total Expenses Per Form990$124,798,749TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationChildren's Specialty Physicians (CSP) 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 judgement occurs. As of December 31, 2019 and 2018, CSP has not recorded any amounts related to uncertain tax positions or any accrued interest and penalties.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

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
Robert Spicer MD
Member/Physician$347,651$0$21,695$0$4,580$0$0$0$0$0$373,926$0$0$0
Jessica Goeller MD
Vice Chairman/Physician$484,539$0$33,981$0$428$0$0$0$0$0$518,948$0$0$0
Suzanne Haney MD
Chairman/Physician$210,836$0$16,121$0$290$0$0$0$0$0$227,247$0$0$0
Steve Burnham
Presdient$360,840$0$143,362$0$8,060$0$66,100$0$14,476$0$592,838$0$0$0
James Hammel MD
Clinical Service Chief$1,766,459$0$175,010$0$990$0$0$0$0$0$1,942,459$0$0$0
Adam Conley MD
Physician$675,389$0$35,000$0$249,005$0$0$0$0$0$959,394$0$0$0
Ali Ibrahimiye MD
Physician$654,068$0$37,020$0$660$0$0$0$0$0$691,748$0$0$0
Donny Suh MD
Physician$609,576$0$70,412$0$1,456$0$0$0$0$0$681,444$0$0$0
Brian Hasley MD
Physician$525,326$0$174,029$0$856$0$0$0$0$0$700,211$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3Compensation for the president is paid by the hospital member, Children's Hospital & Medical Center, an unrelated organization, for services provided to the Nebraska Pediatric Practice Inc. See Schedule O narrative Part VI, Line 15A for additional information on the president's compensation arrangement and review process. IN ADDITION, THE SAME UNRELATED ORGANIZATION HAS A 457(F) PLAN WHICH THE PRESIDENT OF NPP PARTICIPATED IN DURING 2019. THE AMOUNTS OF DEFERRED COMPENSATION DISTRIBUTED AND ACCRUED FOR EACH OF THE INDIVIDUALS DURING 2019 ARE AS FOLLOWS: STEVEN C. BURNHAM $46,166 ACCRUAL, $0 PLAN DISTRIBUTION
Schedule J, Part I, Line 4aSeverance Payments The following employee received severance payments during the calendar year 2019: Adam Conley, MD $175,220

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6, 7a & 7bThere are two members of the corporation: (A) The Board of Regents of the University of Nebraska, a public body corporate, acting on behalf of the University of Nebraska Medical Center, College of Medicine (the academic member), and (B) Children's Hospital and Medical Center, a Nebraska nonprofit corporation (the hospital member). The members retain the following powers, notwithstanding anything in these bylaws to the contrary: A. In accordance with the bylaws, each member shall have the power to appoint three directors of the corporation under Article III, Section 2, and remove directors of the corporation under Article II, Section 13. B. In accordance with the bylaws, the members shall have the power to approve the appointment and removal of the person designated by the Board of Directors as the corporation's executive director. C. The members shall have the power to approve or refuse to approve any amendment to the corporation's article of incorporation or the bylaws, or any action required to be submitted to and approved by voting members of a nonprofit corporation under the Nebraska Nonprofit Corporation Act. D. The following actions of the corporation are subject to approval by the members: (I) Adoption and adjustment of the corporations annual budget, capital expenditures budget, mission statement, operating plan, and long-range plan; (II) Incurrance of assumption of debt (other than trade payables); (III) Adoption of compensation plans; (IV) Assessments against members; (V) Reorganization and transfer of assets outside of the ordinary course of business; (VI) Establishment of a subsidiary or participation as a shareholder, partner, or member of any other entity; (VII) Any distribution of capital or net earnings of the corporation; and (VIII) Admission of new members. The affirmative approval of both members is necessary for any action of the members.
Form 990, Part VI, Line 11bThe Form 990 will be distributed via Director's Desk to the Nebraska Pediatric Board members for review prior to filing with the IRS. However, since all compensation information will be redacted from the copy sent to the Board, the taxpayer is answering the question on Part VI, Line 11A "No".
Form 990, Part VI, Line 12cAn officer, director, committee member (including a member of a board-appointed subcommittee), or key employee shall be deemed to have a potential conflict of interest in a contract or transaction if he or she, or a family member, is a party (or one of the parties) contracting or dealing with the corporation. Any duality of interest or potential conflict of interest on the part of any officer, director, committee member, or key employee should be disclosed to the Board of Directors and made a matter of record whenever it arises, or whenever it involves a matter of board action. Any officer, director, or key employee having a duality of interest or possible conflict of interest in any matter should not vote or use his or her personal influence on the matter. The majority of the board who have no conflict of interest in the transaction comprise a quorum for the purpose of taking action on a conflict transaction. In cases in which an officer, director, committee member, or key employee has a financial interest in an arrangement or transaction, the following additional steps may be taken, at the discretion of the board: A. The interested person may be required to leave the meeting for the general discussion of the matter and the board vote; and/or B. A disinterested person or committee may be appointed to investigate alternatives to the proposed agreement or transaction. All officers, directors, committee members, and key employees shall review the conflict of interest policy and complete a conflict of interest questionnaire upon initially affiliating with the corporation. Each year at an established time, a designated person within the corporation shall send disclosure questionnaires and a copy of the conflict of interest policy to all officers, directors, committee members, and key employees of the corporation. Persons receiving questionnaires shall respond with respect to potential conflicts of interest. Persons required to report who have not returned questionnaires will be contacted and follow-up will continue on a regular basis until all questionnaires have been returned. The information will be used to identify and resolve potential conflicts of interest. The Board of Directors of the corporation shall serve as the conflict review committee, unless, in its discretion, it chooses to appoint a committee composed of directors of the Board to assume the responsibility. When questionnaires or interim disclosures of any of the members of the conflict review committee are being reviewed, the member being reviewed shall be excused from the committee's deliberations and action. The conflict committee shall: 1. Review all annual disclosure questionnaires and interim supplemental disclosures from persons subject to the policy. 2. Identify potential conflicts of interest disclosed in such annual disclosure questionnaires or interim disclosures. 3. Investigate and evaluate, as necessary, potential conflicts of interest, contained in annual disclosure questionnaires or interim disclosures. 4. Report findings, conclusion, and recommendation of the Board for decision and action. 5. Identify, by position or capacity, the employees or other individuals to be designated as key employees subject to disclosure requirements under the policy. 6. Keep complete records of its activities. 7. Periodically review the policy and its implementation procedures to determine whether any changes are required.
Form 990, Part VI, Line 15aEach year, Sullivan Cotter, an independent company, conducts a market analysis of executive compensation, to substantiate the compensation of the executive director of the corporation. The executive director is employed by the hospital member and leased to the corporation. This information is presented to the hospital member's compensation committee for review. Sullivan Cotter issues a reasonableness opinion letter regarding the appropriateness of executive pay levels. The hospital member's Board of Directors receives a report from the committee.
Form 990, Part VI, Line 15bOFFICERS OF THE CORPORATION ARE NOT COMPENSATED FOR SERVING AS OFFICERS. THE CORPORATION'S MANAGEMENT MAKES A DETERMINATION ANNUALLY OF WHETHER THERE ARE ANY EMPLOYEES WHO FALL WITHIN THE DEFINITION OF KEY EMPLOYEE FOR PURPOSES OF FILING THE 990.
Form 990, Part VI, Line 19Governing documents, conflict of interest policy, and financial statements are not available to the public.
Form 990, Part XI, Line 9Support from Hospital member for cash flow - reason for no fund balance at end of year: $41,704,840
FORM 990 PART IX LINE 11GDESCRIPTION:Contract Labor TOTAL FEES:17643111
FORM 990 PART IX LINE 11GDESCRIPTION:Contract Providers TOTAL FEES:9544016
FORM 990 PART IX LINE 11GDESCRIPTION:Billing Fees TOTAL FEES:4149610
FORM 990 PART IX LINE 11GDESCRIPTION:Residents TOTAL FEES:89749
FORM 990 PART IX LINE 11GDESCRIPTION:Recruitment TOTAL FEES:642079
FORM 990 PART IX LINE 11GDESCRIPTION:Consulting TOTAL FEES:1100572
FORM 990 PART IX LINE 11GDESCRIPTION:Other TOTAL FEES:175081

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