2012-05-14T13:54:44-05:00 2011-12-31 371119790 MARTIN HOOD FRIESE & ASSOC LLC 2507 SOUTH NEIL STREET CHAMPAIGN IL 61820 990 2011-01-01 481292876 CIMRO OF NEBRASKA CO CIMRO CIMR 2173521060 2902 CROSSING CT NO C CHAMPAIGN IL 61822 TINA GEORGY 2173521060 2012-03-07 1 AMANDA ALT CPA P00543797 2173512000 2011 2016-02-24 21:20:13Z TINA GEORGY 2902 CROSSING COURT SUITE C CHAMPAIGN IL 61822 5810896 0 3980 X WWW.CIMRONEBRASKA.ORG X 2002 NE 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. 11 11 49 0 0 0 0 0 4342016 5810703 1148 193 0 0 4343164 5810896 0 0 0 0 2084859 3250969 0 0 0 2409701 2283699 4494560 5534668 -151396 276228 1168921 1555497 845725 956073 323196 599424 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. 0 0 QUALITY IMPROVEMENT ORGANIZATION WORKING WITH MEDICARE RECIPIENTS AND THEIR HEALTHCARE PROVIDERS WITHIN THE STATE OF NEBRASKA. POPULATION SERVED: 277,442 MEDICARE BENEFICIARIES. REGIONAL EXTENSION CENTER WORKING WITH NEBRASKA HEALTH CARE PROVIDERS TO IMPLEMENT ELECTRONIC HEALTH RECORDS TO ACHIEVE MEANINGFUL USE. POPULATION SERVED 1.8 MILLION NEBRASKANS. 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 28 0 49 1 0 0 0 0 0 0 X 11 11 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JULIE OVERSTREET 2173521060 2902 CROSSING COURT SUITE C CHAMPAIGN IL 61820 X SHAUN R MEYER RN 1.00 X 1000 0 0 KIM MOORE RN MS 1.00 X 1300 0 0 KENNETH J PRINTEN MD 1.00 X X 1925 0 0 PATRICIA SNYDER NHA 1.00 X X 1175 0 0 RICHARD A BLATNY SR MD 1.00 X X 1100 0 0 LOIS HESS RNC CSA 1.00 X 1800 0 0 E COLENE HANCE MS 1.00 X 1500 0 0 RONALD JOHNSON MD FAAFP 1.00 X 1500 0 0 HELENE LOHMAN OTD OTRL 1.00 X 1250 0 0 CELINE MLADY RN BSN 1.00 X 1000 0 0 JEFFRY STROHMYER MD 1.00 X 1500 0 0 HEATH BODDY 1.00 X 1000 0 0 TINA GEORGY RN MS 45.00 X 0 191913 28287 JULIA OVERSTREET CPA 35.00 X 0 106674 20351 GREG SCHIEKE MBA 46.00 X 150579 0 22575 AUDREY PAULMAN MD MMM 17.00 X 93000 0 0 GEORGE VOIGHTLANDER MD FAAFP 7.00 X 49881 0 0 BOB R RAUNER III MD MPH FAAFP 16.00 X 91683 0 0 401193 298587 71213 1 0 1 0 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 2 PATIENT CARE REVIEW 900099 5810703 5810703 5810703 193 193 5810896 5810703 0 193 434006 2176988 175041 275447 189487 9371 9641 27901 105155 114625 46297 19071 4559 PHYSICIANS AND MEDICAL 991962 ADMINISTRATIVE SERVICES 689065 MISCELLANEOUS EXPENSE 117707 SUPPLIES AND EQUIPMENT 49461 98884 5534668 360218 241972 50000 250000 489510 494043 5849 4459 195294 116513 74843 78781 188501 486242 1168921 1555497 481549 158527 183002 533180 181174 264366 845725 956073 X 323196 599424 323196 599424 1168921 1555497 276228 0 X X 0 1 1 X 1 1 195294 116513 78781 78781 INTEREST RECEIVABLE 8 UNBILLED EARNED REVENUE 486234 486242 ACCRUED PAYROLL AND PAYROLL TAXES 163925 ACCRUED COMPENSATED ABSENCES 100441 264366 1 X X X X 0 0 0 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 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. AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONS 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. FORM 990, PART XII, LINE 2C AUDIT COMMITTEE OVERSIGHT NO CHANGES HAVE BEEN MADE FROM THE PRIOR YEAR. CIMRO MEDICAL MANAGEMENT INC 2902 CROSSING CT SUITE C CHAMPAIGN IL 61822 364215011 INACTIVE IL N/A C 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0