CHILDRENS HOSPITAL & MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL & MEDICAL CENTER (EIN 47-0379754)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-12
- IRS object ID
- 201102289349301085
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-12T14:36:27-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Two Central Park Plaza Suite 1501 | AddressLine1 |
| City | Omaha | City |
| State | NE | State |
| ZIP Code | 681021626 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470379754 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL & MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 4029554116 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 DODGE STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68114 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL J BROWN | Name |
| Title | SR. VICE PRESIDENT & CFO | Title |
| Phone | 4029554116 | Phone |
| Date Signed | 2011-08-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4023481450 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GARY A PERKINS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 DODGE STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 215701490 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.CHILDRENSOMAHA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1948 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | A FAMILY-CENTERED REGIONAL PROVIDER DEDICATED TO COST-EFFECTIVE, QUALITY HEALTHCARE Services & ADVOCACY FOR CHILDREN, INFANTS THROUGH ADOLESCENTS, WHILE ACTIVELY PROMOTING HEALTHCARE EDUCATION & Research. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2007 | TotalNbrEmployees |
| Total Nbr Volunteers | 280 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8595750 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6856976 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 219858126 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 200133005 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 323194 | InvestmentIncomePriorYear |
| Investment Income Current Year | 653743 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10400016 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8057766 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 239177086 | TotalRevenuePriorYear |
| Total Revenue Current Year | 215701490 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1843545 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3584092 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 118519608 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 98984678 | 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 | 99449352 | OtherExpensePriorYear |
| Other Expenses Current Year | 98472270 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 219812505 | TotalExpensesPriorYear |
| Total Expenses Current Year | 201041040 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 19364581 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 14660450 | RevenuesLessExpensesCY |
| Total Assets BOY | 256015840 | TotalAssetsBOY |
| Total Assets EOY | 257508374 | TotalAssetsEOY |
| Total Liabilities BOY | 143037700 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 140536958 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 112978140 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 116971416 | NetAssetsOrFundBalancesEOY |
| Mission Description | SO THAT ALL CHILDREN MAY HAVE A BETTER CHANCE TO LIVE....CHILDREN'S HOSPITAL & Medical Center DELIVERS EXTRAORDINARY CARE TO CHILDREN, EDUCATES HEALTH CARE PROFESSIONALS, AND PROMOTES PEDIATRIC RESEARCH. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 190600348 | Expense |
| Grants | 3584092 | Grants |
| Revenue | 215701490 | Revenue |
| Description | THE HOSPITAL OPERATES A 145-BED PEDIATRIC HOSPITAL, WHICH INCLUDES SEVEN SURGICAL SUITES, A HYBRID HEART CATHETERIZATION LAB, 30 OUTPATIENT SPECIALTY CLINICS, AND A 33-BED OUTPATIENT "DAY HOSPITAL" KNOWN AS CHILDREN'S AMBULATORY RECOVERY AND EXPRESS STAY (CARES) UNIT, IN ADDITION TO OFFERING OUTPATIENT EATING DISORDER SERVICES AND PROVIDING A FULL ARRAY OF PEDIATRIC HOME HEALTH CARE SERVICES TO CHILDREN AND ADOLESCENTS WHO HAVE IMMEDIATE OR LONG-TERM HEALTH CARE NEEDS, INCLUDING HOME MEDICAL EQUIPMENT RENTALS AND SALES, HOME HEALTH NURSING, IN-HOME PRIVATE DUTY NURSING, CENTER BASED PRIVATE DUTY NURSING AT CHILDREN'S HOME HEALTHCARE'S WORLD, AND HOME INFUSION THERAPY SERVICES. CHILDREN'S HOSPITAL & MEDICAL CENTER IS THE ONLY DEDICATED PEDIATRIC EMERGENCY DEPARTMENT IN THE REGION AND ALSO PROVIDES SPECIALTY PEDIATRIC SERVICES IN LINCOLN, NEBRASKA. | Description |
| Total Program Service Expense | 190600348 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 43 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2007 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHAEL J BROWN | NamePerson |
| Telephone Number | 4029554116 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 DODGE STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68114 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| SUZANNE SCOTT | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| JOHN GOLLAN MD | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| STEVEN W SELINE | |||||||
| CHAIRMAN | 1.0 | X | 0 | 0 | 0 | X | |
| BARBARA SCHAEFER | |||||||
| VICE CHAIRMAN | 1.0 | X | 0 | 0 | 0 | X | |
| DEB PERRY MD | |||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | X | |
| GARY A PERKINS FACHE | |||||||
| PRESIDENT/CEO/MEMBER | 40.0 | X | 967704 | 0 | 56835 | X | |
| ERIC BUTLER | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| JIM LANDEN | |||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | X | |
| SUSAN WEIDNER | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| JOHN MOORE MD | |||||||
| MEMBER | 40.0 | X | 200568 | 0 | 25967 | ||
| DANA BRADFORD | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| SID DINSDALE | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| DAN HAMANN | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| JIM SIMPSON | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| ROWEN ZETTERMAN MD | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| RICH ANDERL | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| RODRIGO LOPEZ | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| MATTHEW MILLER | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| ELLEN WRIGHT | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| CARL GUMBINER MD | |||||||
| SVP/CMO/MEMBER | 40.0 | X | 117661 | 0 | 2549 | X | |
| STEPHEN RAYNOR MD | |||||||
| MEMBER | 1.0 | X | 0 | 0 | 0 | ||
| KATHY ENGLISH | |||||||
| EVP/COO | 40.0 | 371961 | 0 | 46320 | X | ||
| MICHAEL BROWN | |||||||
| SVP/CFO | 40.0 | 393728 | 0 | 28263 | X | ||
| DAVID M CHRISTENSEN MD | |||||||
| SVP/CMO | 40.0 | 147652 | 0 | 2943 | X | ||
| GEORGE E REYNOLDS MD | |||||||
| VP/CMIO/CIO | 40.0 | 399511 | 0 | 44858 | X | ||
| BETSY J STEPHENSON MD | |||||||
| PHYSICIAN | 40.0 | 268799 | 0 | 33244 | X | ||
| CHANDRIKA RIZAL MD | |||||||
| PHYSICIAN | 40.0 | 255147 | 0 | 33868 | X | ||
| RACHEL L MCMANN MD | |||||||
| PHYSICIAN | 40.0 | 252248 | 0 | 15299 | X | ||
| JOHN C ANDRESEN MD | |||||||
| PHYSICIAN | 40.0 | 273943 | 0 | 20113 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3648922 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 310259 | TotalOtherCompensation |
| Number Individuals GT100 K | 100 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| KIEWIT BUILDING GROUP INC | |||||
| 3921 MASON STREET | OMAHA | NE | 681051840 | CONSTRUCTION SRVCS | 20777932 |
| ECLIPSYS SOLUTIONS CORP | |||||
| PO BOX 8538-0133 LOCKBOX 077133 | PHILADELPHIA | PA | 19117 | IT SUPPORT SERVICES | 2966643 |
| PLACZEK STUDIOS INC-MATTHEW PLACZE | |||||
| 3716 LEAVENWORTH STREET | OMAHA | NE | 68105 | SCULPTOR/CONSTRUCT. | 1689286 |
| ELECTRIC COMPANY OF OMAHA | |||||
| 815 S 21ST STREET | OMAHA | NE | 68103 | ELECTRICAL CONTRACT. | 1242848 |
| HDR INC | |||||
| PO BOX 3480 | OMAHA | NE | 681030480 | BUILDING CONSULTANTS | 931142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Related Organizations | 5409667 | RelatedOrganizations |
| Government Grants | 1447309 | GovernmentGrants |
| Total Contributions | 6856976 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 200133005 | TotalRevenueColumn |
| Related Or Exempt Function Income | 200133005 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 200133005 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 634349 | TotalRevenueColumn |
| Exclusion | $634,349 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 71775 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 71775 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71775 | TotalRevenueColumn |
| Exclusion | $71,775 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 19394 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 19394 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19394 | TotalRevenueColumn |
| Exclusion | $19,394 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MANAGEMENT FEE | 541610 | 4131279 | 4131279 |
| OTHER REVENUE | 900099 | 2707929 | 2707929 |
| METHODIST SERV INCOME | 541900 | 1146783 | 1146783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7985991 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 215701490 | TotalRevenueColumn |
| Related Or Exempt Function Income | 208118996 | RelatedOrExemptFunctionIncome |
| Exclusion | $725,518 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1035801 | Total |
| Program Services | 1035801 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2548291 | Total |
| Program Services | 2548291 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2241941 | Total |
| Management And General | 2241941 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79475436 | Total |
| Program Services | 79475436 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4211671 | Total |
| Program Services | 4211671 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7582010 | Total |
| Program Services | 7582010 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5473620 | Total |
| Program Services | 5473620 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 542585 | Total |
| Program Services | 542585 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176219 | Total |
| Program Services | 176219 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20707 | Total |
| Program Services | 20707 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14964353 | Total |
| Program Services | 11292389 | ProgramServices |
| Management And General | 3671964 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2898576 | Total |
| Program Services | 142 | ProgramServices |
| Management And General | 2898434 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28810321 | Total |
| Program Services | 28810321 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5426857 | Total |
| Program Services | 5426857 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6255136 | Total |
| Program Services | 6255136 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340127 | Total |
| Program Services | 340127 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4857812 | Total |
| Program Services | 4857812 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11761264 | Total |
| Program Services | 11761264 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15684331 | Total |
| Program Services | 15684331 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1194782 | Total |
| Management And General | 1194782 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 2077972 | 2077972 | |
| COLLECTION EXPENSE | 976047 | 976047 | |
| OPERATING LEASES | 975582 | 975582 | |
| BUILDING MAINTENANCE | 589241 | 589241 | |
| PROFESSIONAL DUES & SUBSCRIP. | 433571 | 433571 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486787 | Total |
| Program Services | 486787 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201041040 | Total |
| Program Services | 190600348 | ProgramServices |
| Management And General | 10440692 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 860904 | BOY |
| EOY | 4193063 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41674519 | BOY |
| EOY | 15996973 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1507000 | BOY |
| EOY | 1506000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31665743 | BOY |
| EOY | 32795432 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2820484 | BOY |
| EOY | 2654723 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 849630 | BOY |
| EOY | 1907180 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 290568930 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 115538733 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154717624 | BOY |
| EOY | 175030197 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8830841 | BOY |
| EOY | 10471372 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3099771 | BOY |
| EOY | 3154554 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 570626 | BOY |
| EOY | 374983 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9418698 | BOY |
| EOY | 9423897 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 256015840 | BOY |
| EOY | 257508374 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30308755 | BOY |
| EOY | 26750591 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61781 | BOY |
| EOY | 37014 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100470257 | BOY |
| EOY | 100426669 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7245040 | BOY |
| EOY | 7078768 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4951867 | BOY |
| EOY | 6243916 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143037700 | BOY |
| EOY | 140536958 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111471140 | BOY |
| EOY | 115465416 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1507000 | BOY |
| EOY | 1506000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112978140 | BOY |
| EOY | 116971416 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 256015840 | BOY |
| EOY | 257508374 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 14660450 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -10667174 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 20707 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 20707 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 201020333 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 201041040 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 8661 | CurrentYearMinus3 |
| Current Year Minus2 | 7300 | CurrentYearMinus2 |
| Current Year Minus1 | 5371 | CurrentYearMinus1 |
| Current Year | 20707 | CurrentYear |
| Total | 42039 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 47818091 | BeginningOfYearBalance |
| Contributions | 734290 | Contributions |
| Investment Earnings Or Losses | 2140797 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4323854 | GrantsOrScholarships |
| End Of Year Balance | 46369324 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 44226562 | BeginningOfYearBalance |
| Contributions | 7371562 | Contributions |
| Investment Earnings Or Losses | 10645327 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 8254241 | GrantsOrScholarships |
| Other Expenditures | 6171119 | OtherExpenditures |
| End Of Year Balance | 47818091 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 48753075 | BeginningOfYearBalance |
| Contributions | 9675396 | Contributions |
| Investment Earnings Or Losses | -13889726 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 312183 | GrantsOrScholarships |
| End Of Year Balance | 44226562 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.82000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.05000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.13000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11641133 | OtherCostOrOtherBasis |
| Book Value | 11641133 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 170022477 | OtherCostOrOtherBasis |
| Depreciation | 44528225 | Depreciation |
| Book Value | 125494252 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11327190 | OtherCostOrOtherBasis |
| Depreciation | 6101630 | Depreciation |
| Book Value | 5225560 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 92153683 | OtherCostOrOtherBasis |
| Depreciation | 64473969 | Depreciation |
| Book Value | 27679714 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5424447 | OtherCostOrOtherBasis |
| Depreciation | 434909 | Depreciation |
| Book Value | 4989538 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 175030197 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION LIAB | $1,247,749 |
| MINORITY INTEREST IN CP LIABIL | $490,772 |
| SWAP LIABILITY | $4,505,395 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6243916 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D, PART X, LINE 2 | FIN 48 FOOTNOTE | In accordance with ASC subtopic 740-10, Income Taxes-Overall, the company recognizes the effect of income tax position 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 2010 and 2009, the company did not record any amounts related to uncertain tax positions or any accrued interest and penalties. |
| SCHEDULE D | PART V, LINE 4 | TO SUPPORT PROGRAMS, FUTURE CAPITAL IMPROVEMENTS, AND OPERATIONS OF THE CHILDREN'S HOSPITAL & MEDICAL CENTER |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1455000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1455000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00730 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 76224000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55092000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21132000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10620 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77679000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55092000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22587000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11350 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1482000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 62000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1420000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00710 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8155000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1363000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6792000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03410 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48109000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29839000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18270000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09180 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5299000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5299000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02660 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 775000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 775000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63820000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31264000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32556000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16350 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 141499000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 86356000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 55143000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.27700 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 33000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 33000 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3000 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36000 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,186,000 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 29623 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 127846 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -98223 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL & MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 DODGE STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 681144113 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Teaching Hospital | X | TeachingHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL & MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| W VILLAGE PTE URGENT CARE&AMBUL CLINICS | ||||
| 110 N 175TH STREET | OMAHA | NE | 68118 | UCC OPENS 6AM-10PM & ROTATING AMBULATORY CLINICS |
| CHILDREN'S HOME HEALTHCARE | ||||
| 4156 S 52ND STREET | OMAHA | NE | 68117 | PEDIATRIC HOME HEALTHCARE SERVICES |
| CHILDREN'S HOME HEALTHCARE WORLD | ||||
| 7815 FARNAM STREET | OMAHA | NE | 68114 | PRIVATE DUTY PEDIATRIC NURSING CENTER |
| LINCOLN CLINIC | ||||
| 300 NORTH 44TH STREET | LINCOLN | NE | 68503 | PEDIATRIC CLINIC |
| HARVEY OAKS URGENT CARE | ||||
| 14421 DUPONT CT | OMAHA | NE | 68144 | UCC OPENS 6AM-10PM |
| CAROLYN SCOTT RAINBOW HOUSE | ||||
| 7815 HARNEY STREET | OMAHA | NE | 68114 | MINIMUM TO NO-COST ACCOMODATIONS FOR FAMILIES OF PATIENTS |
| ENDOCRINOLOGY CLINIC | ||||
| 7831 CHICAGO CT | OMAHA | NE | 68114 | PEDIATRIC CLINIC-RELOCATED TO SPECIALTY PEDIATRIC CENTER AUGUST 2010 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C | If the organization did not use FPG to determine eligibility, describe the income based criteria for determining eligibility for free or discounted care. Federal Poverty Guidelines are used to determine eligibility for free or discounted care. Financial assistance is available for medically necessary procedures and services. Services not eligible for financial assistance include cosmetic and other elective procedures, helmet clinic, eating disorders program and HEROES WEIGHT MANAGEMENT PROGRAM. Certification or proof of Medicaid denial is a requirement for financial assistance consideration. Financially responsible parties who submit a complete and verifiable Application for Financial Assistance (including proof of Medicaid denial) will be considered for free or reduced assistance on the basis of Federal Poverty Guidelines (400% FPL limit). Families that do not qualify for income based financial assistance that have verifiable out of pocket medical debt greater than 20% of gross income may qualify for catastrophic assistance leaving 1% of the family's gross income as the responsibility. Presumptive Eligibility is available in a variety of circumstances including the absence of documentation required to comply with the traditional charity care application requirements. The predictive incorporates income and household size estimates, a socio-economic need factor, census block data, as well as information on home ownership. | |
| PART I, LINE 6A | The community benefit report is prepared by the organization. The values reported in the 2010 Community Benefit report include $1.8M in FINANCIAL ASSISTANCE associated with an affiliated sub, Children's Physicians. | |
| PART I, LINE 7F | $2,077,972 of Bad Debt included in functional expense Total Part IX, line 25 is not included in the Total Operating Expenses used to calculate the Table 7 percentages. | |
| PART I, LINE 7G | The organization did not include costs attributable to physician clinics as subsidized health services. | |
| PART I, LINE 7 | Explanation of the costing methodology used to calculate subsidized health services: A subsidized health service benefit was calculated for emergency and trauma care, urgent care, behavioral health, and ambulatory care clinic outpatient services recognizing that these areas operate at a negative margin when the indirect costs of operation are considered. A cost to charge ratio calculation similar to worksheet 2 in the schedule H instructions is used. The reported subsidized loss represents the difference in net revenue received from all payors PLUS any miscellaneous operating revenue reported by the department 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 are EXCLUDED from the operating expense total as are bad debt and nonpatient care expense associated with each department. Indirect costs for each department were calculated by applying the Medicare cost report overhead rate applicable to that department to the department's total operating expenses excluding unreimbursed Medicaid expenses and/or any other expense already reported elsewhere on the schedule H as a community benefit. | |
| PART III, LINE 4 | Bad debt expense is identified on the consolidated statement of operations which is consistent with the reporting practice of other health care organizations, audited footnotes for Children's Hospital & Medical Center do not contain footnotes related to bad debt expense. Describe the costing method used to determine the amounts reported on lines 2 & 3: Bad debt expense at 100% charge value was multiplied by the 2010 Medicare Cost to Charge Ratio to arrive at an approximate cost value. Bad debt expense at 100% charge value $2,077,972 Medicare Cost to Charge Ratio x .5709 Bad debt expense at cost $1,186,000 Estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's charity care policy: This process includes identifying "Charity Care" financial assistance codes congruent with the financial assistance policy that were charged to Bad Debt Expense at 100% charge value. This amount is $0 for 2010 and reflects the efforts of Children's Hospital & Medical Center to ensure that no child with a medical need is turned away due to inability to pay for health care. Describe how the organization accounts for discounts or payments on patient accounts in determining bad debt expense: Bad Debt expense is credited for any payment received on accounts previously written off. | Bad Debt Expense |
| PART III, LINE 8 | Describe the extent to which any shortfall reported in line 7 should be treated as a community benefit and the costing methodology used to determine the amount reported on line 6 and indicate what costing methodology was used. 2010 Medicare charges reported by CMS in the Provider Statistical and Reimbursement System for provider FYE 12/31 were multiplied by the 2010 cost to charge ratio to arrive at an approximate cost of care related to the reimbursement payments reported on line 5. | Medicare |
| PART III, LINE 9B | Does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. Administrative policy: Collection of Self Pay and Balance After Insurance monies Self pay accounts with no verifiable insurance and balance after insurance accounts are considered for financial assistance throughout the collection process for those guarantors who are financially unable to pay, either through a government program or through Children's Hospital & Medical Centers financial assistance program. All correspondence, including statements and collection letters state that Financial Assistance may be available. | Collection Practices |
| PART VI, LINE 2 | Children's Hospital & Medical Center uses numerous resources to conduct assessments of the health care needs of children in the communities we serve. These resources include national pediatric care standards and trends as identified by Child Health Corporation of America (CHCA) and the National Association of Children's Hospitals and Related Institutions (NACHRI). There are many local and state reports available for our use, including Vital Statistics, the Douglas County Health Department, United Way of the Midlands, Our Healthy Community Partnership (in which we are a member partner), and Kids Count in Nebraska. The hospital conducts consumer surveys, as well as medical staff and referring physician surveys, to help identify gaps in service(s). In addition to analyzing internal utilization of services, data is available to track utilization of services by all providers in the communities served by Children's. Other internal resources that assist with the assessment of child health needs are the Family Advisory Council, physicians and clinical service units. An analysis of the information and/or data collected from these various resources is conducted to identify potential gaps in child health needs in the communities served. Needs that align with the hospital's mission and capacity are selected for review by Administration, which prioritizes needs and authorizes implementation based on the scope or seriousness of the problem, availability of community resources, availability of funding, and/or alignment with the hospital's expertise and strategic goals. Children's is collaborating with Boys Town National Research Hospital in Omaha to conduct a comprehensive community needs assessment survey focuses solely on pediatrics. Planning for the survey will continue through 2011 and be conducted in early 2012. | NEEDS ASSESSMENT |
| PART VI, LINE 3 | Financially responsible parties who experience difficulty in meeting their financial obligations will be encouraged to and assisted in applying for financial help through government programs and other potential funding sources or alternatively qualified for Children's financial assistance program. Eligibility for financial assistance is ideally determined either prior to services being provided or at the time services are rendered and is based upon family/guarantor income, family size and other special considerations. The primary responsibility to identify financial need is with the financial counselors, patient financial services, and Social Work staff. These staff members are trained to identify patient needs and answer financial assistance questions. There are several points in the patient experience where financial assistance resources are offered. The first occurs at the pre-registration of inpatient admits and outpatients presenting through CARES and for those patients scheduled in the Specialty Pediatric Center clinics. At this time, electronic eligibility is ran on the insured. The benefit detail including deductible, co-payment and coinsurance amounts are discussed with the family at that time. All individuals who are financially unable to pay will be encouraged to and assisted in applying for financial help through government programs and other potential funding sources or alternatively qualified for Children's financial assistance program. At the time of registration, insurance is discussed and families again are offered the assistance of financial counselors who are available M-F. All self pay families are encouraged to speak to a financial counselor. Care estimates or questions regarding estimate of cost for upcoming testing is directed to the Patient Registration Manager and these services are again offered prior to ending the conversation. Financial assistance information is also located in the patient handbooks. Brochures which explain the billing process are available. Patient statements include leaflets and all mailed correspondence including bills, statements, and collection letters state that "Financial Assistance may be available." Children's Hospital & Medical Center's internet website also offers a "Financial Assistance" link that informs readers "if you are uninsured or have limited income, you may qualify for financial assistance through government programs or Children's Financial Assistance Program." The website explains that depending on income level, all or part of the medical costs may be funded by Medicaid and alternatively if they are determined "not eligible" for Medicaid after providing all of the required documentation that they may then apply for the Children's Financial Assistance Program. Contact numbers for the financial counselors and hours of service are provided. All other billing, payment and financial responsibility related links on Children's website states that "Financial Assistance may be available." | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE |
| PART VI, LINE 4 | The Hospitals primary service area consists of Douglas and Sarpy Counties in Nebraska and Pottawattamie County in Iowa. The primary service area has a current aggregate population of approximately 769,000. The Hospitals secondary service area consists of eight surrounding counties in Nebraska and nine surrounding counties in Iowa. For year ended December 31, 2010, 58% of the Hospitals discharges were from patients residing in the three-county primary service area. Patients residing in the seventeen-county secondary service area accounted for 18% of total hospital discharges during this same time period. Within this secondary service area, 13% of total discharges were from patients residing in the Nebraska counties,and 5% from patients residing in the Iowa counties. | COMMUNITY INFORMATION |
| PART VI, Line 4 | 2010 Demographic Summary Omaha Metro Market Area: Douglas, Sarpy and Pottawattamie Counties Sources: United States Census Bureau and Children's Hospital & Medical Center patient encounter database. Communities Served Urban, Suburban and Rural # of hospitals serving community 12 Total Population 769,108 Pediatric Population 202,920 Average Household Income $67,823 Percent of residents below federal poverty level 11.0% Percent of residents on Medicaid 12.3% Age Population % of Total Less than 18 202,920 26.4% 18 to 24 75,941 9.9% 25 to 44 218,351 28.4% 45 to 64 190,144 24.7% 65+ 81,752 10.6% Total 769,108 100.0% Race Population % of Total White 588,770 76.6% Black 66,511 8.7% Hispanic 75,524 9.8% Asian/Pacific Islander 17,971 2.3% Other 16,912 2.2% American Indian/ Alaska Native 3,420 0.4% Total 769,108 100.0% Federally-Designated Medically Underserved Areas Approximate % of patients from medically underserved areas: 11.8% County # of Census Tracts* Total Census Tracts % of Total Douglas 36 156 23.1% Sarpy 2 43 4.7% Pottawattamie 3 30 10.0% Total 41 229 17.9% *Census tract is a geographical division of 500 to 3,000 households. | DEMOGRAPHICS |
| PART II | Children's Hospital & Medical Center makes monetary donations to various organizations such as Nebraska Chamber of Commerce, Our Healthy Community Partner and Greater Omaha Chamber Foundation to support and enhance economic development throughout the state and Omaha metro area. COMMUNITY SUPPORT & COALITION BUILDING Children's Hospital & Medical Center goes beyond joint commission requirements to ensure community disaster readiness with our committee work involvement with the Omaha Medical Management Response team. Childrens has signed a Memorandum of Understanding and Resolution of the Omaha Metropolitan Area Hospitals and Support Facilities to participate in the Omaha Metropolitan Medical Response System (OMMRS). The OMMRS plan is for events involving weapons of mass destruction (WMD) that effect the Omaha metropolitan area and surrounding communities. Childrens will collaborate with OMMRS during a WMD event. In the event of a disaster affecting the community or surrounding areas, city officials will implement the Douglas County Emergency Operations Center (DCEOC) in downtown Omaha. A Childrens representative is assigned to report to DCEOC to maintain communication and to assist in management of the event. Cooperative planning among hospitals in the metropolitan area is achieved through participation in the medical table of the OMMRS which includes representation from all area hospitals. Communication and sharing of information essential elements of the command structure, names, roles and telephone numbers for individuals in the command structure, potentially shared resources and assets, and names of patients and deceased individuals brought to the hospital is coordinated through Douglas County Emergency Operations Center (DCEOC). The Childrens Incident Commander will make the decision when such information would be released. | ECONOMIC DEVELOPMENT |
| PART VI, LINE 5 and Part II | Information important in describing how the organization furthers its exempt purpose: Proudly serving children since 1948, Children's Hospital & Medical Center is the only full-service, pediatric health care center in Nebraska. Located in Omaha, it provides expertise in more than 30 pediatric specialty services to children and families across a five-state region and beyond. The 145 bed, non-profit hospital houses the only dedicated pediatric emergency department in the region and offers 24-hour, in-house services by pediatric critical care specialists. Children's has achieved the Magnet designation for nursing excellence, is an InfoWorld 100 award winner for innovation in information technology and for the first time received recognition in U.S. News and World Report's Best Children's Hospitals Ranking (ranked 41 in Orthopedics and 47 in Cardiology and Heart Surgery). A pediatric affiliation established between Children's and the University of Nebraska Medical Center College of Medicine (UNMC) supports enhancements in pediatric education, research and clinical care. Children's is also the primary teaching site for the family practice and joint pediatrics residency programs at Creighton University and UNMC. Children's Hospital & Medical Center is committed to ensuring that no child with a medical need is ever turned away due to a family's inability to pay for services. In 2010, our hospital: -Provided $2.7 million OF services in the form of uncompensated care or charity care ($1.5 million) and bad debt write-offs ($1.2 million) to families unable to pay the bills associated with their children's medical care. With 41 percent of patient care revenues devoted to the care of low-income children assisted by Medicaid, the Medicaid reimbursement shortfall for FY 2010 was $21 million less than the cost of the care we provided. This amount has been steadily increasing and is expected to continue to rise with an uncertain national economic future. -Contributed $2.2 million towards community health education aimed at promoting health and preventing illness and injury made available through the Kohl's Keeps Kids Safe program, Parenting U education classes, outreach classes, health fairs, Just Kids magazine and the consumer Web site. Public health assistance is available through social work, pastoral and spiritual care, child life services, financial counseling and a variety of support groups. Children's gives back to the community through its advocacy services which are available to anyone suspecting child abuse or neglect, low-cost lodging for families of out-of-town patients, agency representation, community event sponsorships and charitable donations. -Contributed $6.8 million in pediatric health care education costs to educate tomorrow's healers and an additional $5.3 million to support pediatric education, research and clinical care that will in turn improve the health care of all children. In 2010, the hospital supported the joint Creighton-Nebraska Universities Health Foundation pediatrics residency programs at UNMC and Creighton University, as well as many of the region's nursing and health professional schools. -Provided $18.3 million in subsidized clinical health services, or programs offered despite financial loss because they meet an identified community need. The emergency department and emergency transport services, in addition to behavioral health and many of the ambulatory clinic programs all operate at negative margins. Non-billed services provided include financial counseling, pastoral and spiritual care, social work and child life services provided at no cost or nominal cost to the patient. In 2010, Children's Hospital & Medical Center contributed in total over $55 million in community benefits representing 27 percent of the hospital's operating expenses. | Promotion of Community Health |
| PART VI, LINE 7 | The Children's Hospital & Medical Center's Community Benefit Report is filed in the State of Nebraska and is available to the public on the website www.childrensomaha.org. | State Filing of Community Benefit Report |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Nebraska Pediatric Practice Inc | |||||||
| 8200 Dodge St | Omaha | NE | 68114 | 263064869 | 501(c)(3) | 802200 | Pediatrics |
| University of NE College of Medicine | |||||||
| 985520 NE Med Ctr | Omaha | NE | 68198 | 470049123 | 501(c)(3) | 233601 | Ped. Research |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | CHARITY CARE ASSISTANCE TO THOSE PATIENTS IN NEED | TypeOfGrant |
| Number Of Recipients | 1804 | NumberOfRecipients |
| Amount Of Non Cash Assistance | 2548291 | AmountOfNonCashAssistance |
| Method Of Valuation | Book | MethodOfValuation |
| Description Of Non Cash Assistance | Write off pat. rec. | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE I, PART I, LINE 2 | Identifier |
| Return Reference | SCHEDULE I - SUPPLEMENTAL INFORMATION | ReturnReference |
| Explanation | CHILDREN'S HOSPITAL & MEDICAL CENTER HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY. THE AMOUNT OF FINANCIAL ASSISTANCE IS BASED ON THE ANNUAL GROSS INCOME THRESHOLDS USING THE CURRENT FEDERAL POVERTY LEVEL GUIDELINES. Grants are only distributed to 501(c)(3) organizations based on the Hospital's evaluation criteria. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY A PERKINS FACHE | |||||||||||||
| 450992 | 0 | 224692 | 0 | 292020 | 0 | 48000 | 0 | 8835 | 0 | 1024539 | 0 | 0 | 0 |
| KATHY ENGLISH | |||||||||||||
| 257405 | 0 | 77034 | 0 | 37522 | 0 | 37550 | 0 | 8770 | 0 | 418281 | 0 | 0 | 0 |
| MICHAEL BROWN | |||||||||||||
| 250958 | 0 | 120704 | 0 | 22066 | 0 | 17150 | 0 | 11113 | 0 | 421991 | 0 | 0 | 0 |
| DAVID M CHRISTENSEN MD | |||||||||||||
| 50173 | 0 | 97343 | 0 | 136 | 0 | 1928 | 0 | 1015 | 0 | 150595 | 0 | 0 | 0 |
| JOHN MOORE MD | |||||||||||||
| 199253 | 0 | 0 | 0 | 1315 | 0 | 14460 | 0 | 11507 | 0 | 226535 | 0 | 0 | 0 |
| GEORGE E REYNOLDS MD | |||||||||||||
| 336155 | 0 | 58988 | 0 | 4368 | 0 | 32650 | 0 | 12208 | 0 | 444369 | 0 | 0 | 0 |
| BETSY J STEPHENSON MD | |||||||||||||
| 267632 | 0 | 0 | 0 | 1167 | 0 | 33009 | 0 | 235 | 0 | 302043 | 0 | 0 | 0 |
| CHANDRIKA RIZAL MD | |||||||||||||
| 251750 | 0 | 0 | 0 | 3397 | 0 | 33650 | 0 | 218 | 0 | 289015 | 0 | 0 | 0 |
| RACHEL L MCMANN MD | |||||||||||||
| 249252 | 0 | 0 | 0 | 2996 | 0 | 12250 | 0 | 3049 | 0 | 267547 | 0 | 0 | 0 |
| JOHN C ANDRESEN MD | |||||||||||||
| 273432 | 0 | 0 | 0 | 511 | 0 | 12282 | 0 | 7831 | 0 | 294056 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 1A | Identifier |
| Explanation | GARY PERKINS' SOCIAL CLUBS DUES ARE PAID FOR BY THE ORGANIZATION TO BE USED FOR BUSINESS PURPOSES. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hosp Authority No 2 of Douglas Co NE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521440796 | IssuerEIN |
| CUSIP Number | 259230KT6 | CUSIPNumber |
| Date Issued | 2008-08-12 | DateIssued |
| Issue Price | 100881609 | IssuePrice |
| Description Of Purpose | REFUND CHILDRENS HOSP SERIES A | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 100881843 | TotalProceeds |
| Amount In Reserve Fund | 5000234 | AmountInReserveFund |
| Issuance Costs From Proceeds | 751783 | IssuanceCostsFromProceeds |
| Credit Enhancement | 24826 | CreditEnhancement |
| Capital Expenditures | 2755000 | CapitalExpenditures |
| Other Spent Proceeds | 92350000 | OtherSpentProceeds |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | true | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | true | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORGAN STANLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 25. | TermOfHedge |
| Superintegrated Hedge | false | SuperintegratedHedge |
| Hedge Terminated | false | HedgeTerminated |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | true | ExceptionToRebate |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II, LINE 3 | Identifier |
| Explanation | The total proceeds do not agree to the issue price in Part I, Column (e) due to investment earnings. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 15 | POLICIES | Each year an independent company (Towers Watson) conducts a market analysis of the Executive Compensation. This information is presented to the Compensation Committee. Executive base salaries are targeted for the 50th percentile of the market. Towers Watson issues an annual reasonableness opinion letter regarding the appropriateness of the executive pay levels. The Compensation Committee is a sub-committee of the Board of Directors. The Compensation Committee reviews base pay change for the top four executives (Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, and Chief Medical Officer) and Vice Presidents. The Board of Directors receives a report from the committee. The Compensation Committee of the Board of directors is responsible for reviewing the CEO's performance which affects his pay rate indirectly. |
| Form 990, Part VI, Line 12C | POLICIES | The Conflicts 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 of Directors or a Board committee for approval (interested person). This includes, but is not limited to, any director, officer, or member of a committee with board-designated powers. Each interested person has the obligation to annually submit a completed conflicts of interest questionnaire and has a continuing obligation to disclose any potential conflict of interest promptly. Each interested person signs annually an acknowledgement that states that the interested person has received, read and understands the conflict of interest policy, agrees to comply with the policy; understands that the policy applies to the board of directors and committees; understands that Children's Hospital & Medical Center is a not-for-profit organization that must engage primarily in exempt activities; agrees to report to the compliance Officer any change to matters previously disclosed on the Conflicts of Interest Questionnaire; states that the information provided in the conflicts of interest questionnaire is true and accurate to the best of his/her knowledge and belief. The governance committee reviews each completed conflicts of interest questionnaire to determine if any further investigation of potential conflicts is necessary. When a potential conflict is voluntarily identified by an interested person or through disclosure by another person, the remaining board/committee members review the matter and determine whether a conflict exists. Only disinterested board/committee members may vote to determine whether a conflict exists. The interested person in question cannot be present during the vote. If a conflict of interest exists, the disinterested board/committee members determine whether a more advantageous contract, transaction or arrangement should be obtained. When considering whether to enter into the proposed contract, transaction, or arrangement, only disinterested board/committee members can vote to determine if it is in the best interest of Children's and for Children's own benefit. The interested person may be required to leave the room when the matter is discussed and is required to leave the room when the matter is voted on. Only disinterested board/committee members may vote on the matter. Failure to comply with the conflict of interest policy may result in removal from the board. |
| FORM 990, PART VI, LINE 11b | GOVERNANCE, MANAGEMENT, AND DISCLOSURE | The Form 990 will be available for all Board members through the Board Portal on the intranet and an overview will be presented to the Executive Committee prior to filing with the IRS. |
| Form 990, Part VI, Line 19 | GOVERNANCE, MANAGEMENT, AND DISCLOSURE | Governing documents and Conflict of Interest policy are not available to the public. The Children's Hospital & Medical Center and Affiliates audited financial statements can be obtained in administration. |
| Form 990, Part XI, Line 5 | Other Changes in Net Assets | 69,406 Minority Interest in Children's Physicians (1,354,930) Change in FV of Swap (14,916) Capital Transfers Children's Health Network (9,158,514) Capital Transfers Chil. Hospital & Med. Ctr Fdn (208,220) Equity in Losses of Children's Phsyicicans (10,667,174) Other Change in Net Assets |
| FORM 990, PART VII | BOARD MEMBERS | During 2010, Carl Gumbiner, MD resigned from the board of directors and accepted the CMO position at Children's Hospital and Medical Center. Stephen Raynor, MD replaced him as a member on the board of directors. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL & MEDICAL CENTER FDN | |||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 476105603 | FUNDRAISING | NE | 501(c)(3) | LINE 7 | NA |
| CHILDREN'S PHYSICIANS | |||||||||
| 8200 DODGE STREET | OMAHA | NE | 68144 | 470689372 | PED. CLINIC | NE | 501(c)(3) | LINE 9 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| KENT INC | |||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 470527928 | REAL ESTATE | NE | NA | C corp | 0 | 219495 | 1.00000 |
| CHILDREN'S HEALTH NETWORK | |||||||||||
| 8200 DODGE STREET | OMAHA | NE | 68114 | 363967578 | HEALTH NETWORK | NE | NA | C corp | 0 | 0 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| CHILDREN'S HOSPITAL & MEDICAL CENTER FDN | |
| C | 5409667 |
| CHILDREN'S HOSPITAL & MEDICAL CENTER FDN | |
| IKLMN | 2197436 |
| CHILDREN'S PHYSICIANS | |
| D | 1682239 |
| CHILDREN'S HOSPITAL & MEDICAL CENTER FDN | |
| Q | 9330524 |
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