Civic Intelligence

Nebraska Health Information Initiative

EIN 26-2673338 • 501(c)3 • LA Vista, NE

Profile

Nehii's mission is to organize and operate a system for the secure exchange and use of health care information throughout the state of nebraska to improve the quality and access of healthcare to the community while reducing health care costs.

11412 Centennial Road 800LA Vista, NE 68128

www.cynchealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

57th percentile

0.28x

Higher debt load relative to assets than 57% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

56th percentile

0.35x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

79th percentile

25%

Higher net margin than 79% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

78th percentile

$433,971

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

89th percentile

28%

Faster asset growth than 89% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

29th percentile

-1.3%

Faster revenue growth than 29% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$36,159,804

Up $7,862,116 (+28%) from 2023

Liabilities

Up

$10,162,014

Up $580,356 (+6.1%) from 2023

Net Assets

Up

$25,997,790

Up $7,281,760 (+39%) from 2023

Revenue

Down

$28,787,453

Down $374,346 (-1.3%) from 2023

Expenses

Up

$21,505,693

Up $1,749,419 (+8.9%) from 2023

Net Income

Down

$7,281,760

Down $2,123,765 (-23%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0-$10MAssets 2010: $1,480,373Liabilities 2010: $3,879,374Net Assets 2010: -$2,399,0012010Assets 2011: $833,712Liabilities 2011: $1,981,048Net Assets 2011: -$1,147,3362011Assets 2012: $322,678Liabilities 2012: $1,762,155Net Assets 2012: -$1,439,4772012Assets 2013: $318,584Liabilities 2013: $1,881,772Net Assets 2013: -$1,563,1882013Assets 2014: $1,616,076Liabilities 2014: $2,398,233Net Assets 2014: -$782,1572014Assets 2015: $229,182Liabilities 2015: $145,685Net Assets 2015: $83,4972015Assets 2016: $956,672Liabilities 2016: $129,814Net Assets 2016: $826,8582016Assets 2017: $1,373,338Liabilities 2017: $164,963Net Assets 2017: $1,208,3752017Assets 2018: $2,311,372Liabilities 2018: $235,544Net Assets 2018: $2,075,8282018Assets 2020: $33,649,383Liabilities 2020: $28,694,189Net Assets 2020: $4,955,1942020Assets 2021: $28,480,439Liabilities 2021: $20,894,478Net Assets 2021: $7,585,9612021Assets 2022: $19,105,511Liabilities 2022: $9,795,006Net Assets 2022: $9,310,5052022Assets 2023: $28,297,688Liabilities 2023: $9,581,658Net Assets 2023: $18,716,0302023Assets 2024: $36,159,804Liabilities 2024: $10,162,014Net Assets 2024: $25,997,7902024

Highlighted filing

2024

Assets$36,159,804
Liabilities$10,162,014
Net Assets$25,997,790

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $3,115,3502010Expenses 2011: $2,851,8552011Expenses 2012: $2,388,6892012Revenue 2013: $2,305,135Expenses 2013: $2,455,158Net Income 2013: -$150,0232013Revenue 2014: $2,925,548Expenses 2014: $2,180,243Net Income 2014: $745,3052014Revenue 2015: $3,003,369Expenses 2015: $2,137,715Net Income 2015: $865,6542015Revenue 2016: $3,981,001Expenses 2016: $3,237,640Net Income 2016: $743,3612016Revenue 2017: $4,930,027Expenses 2017: $4,577,194Net Income 2017: $352,8332017Revenue 2018: $5,016,914Expenses 2018: $4,098,180Net Income 2018: $918,7342018Revenue 2020: $72,365,685Expenses 2020: $69,446,200Net Income 2020: $2,919,4852020Revenue 2021: $62,118,071Expenses 2021: $57,003,883Net Income 2021: $5,114,1882021Revenue 2022: $35,487,307Expenses 2022: $33,762,763Net Income 2022: $1,724,5442022Revenue 2023: $29,161,799Expenses 2023: $19,756,274Net Income 2023: $9,405,5252023Revenue 2024: $28,787,453Expenses 2024: $21,505,693Net Income 2024: $7,281,7602024

Highlighted filing

2024

Revenue$28,787,453
Expenses$21,505,693
Net Income$7,281,760

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.2$10.2$26.0$28.8$21.5$7.28
2023Detailed filing. Detailed filing data is available for this year.$28.3$9.58$18.7$29.2$19.8$9.41
2022Detailed filing. Detailed filing data is available for this year.$19.1$9.80$9.31$35.5$33.8$1.72
2021Detailed filing. Detailed filing data is available for this year.$28.5$20.9$7.59$62.1$57.0$5.11
2020Detailed filing. Detailed filing data is available for this year.$33.6$28.7$4.96$72.4$69.4$2.92
2018Detailed filing. Detailed filing data is available for this year.$2.31$0.24$2.08$5.02$4.10$0.92
2017Detailed filing. Detailed filing data is available for this year.$1.37$0.16$1.21$4.93$4.58$0.35
2016Detailed filing. Detailed filing data is available for this year.$0.96$0.13$0.83$3.98$3.24$0.74
2015Detailed filing. Detailed filing data is available for this year.$0.23$0.15$0.08$3.00$2.14$0.87
2014Detailed filing. Detailed filing data is available for this year.$1.62$2.40$0.78$2.93$2.18$0.75
2013Detailed filing. Detailed filing data is available for this year.$0.32$1.88$1.56$2.31$2.46$0.15
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.32$1.76$1.44$2.39
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.83$1.98$1.15$2.85
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.48$3.88$2.40$3.12
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$28,787,453
Mission and Program Overview

Mission

Nehii's mission is to organize and operate a system for the secure exchange and use of health care information throughout the state of nebraska to improve the quality and access of healthcare to the community while reducing health care costs.

Nehii's mission is to organize and operate systems for secure exchange and use of health care data throughout the state of nebraska to improve the quality and access of healthcare to the community while reducing health care costs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$9,311,091$13,076,365▲ $3,765,274
Cash and Non-Interest-Bearing Accounts$7,635,936$10,099,933▲ $2,463,997
Prepaid Expenses and Deferred Charges$2,919,160$4,354,370▲ $1,435,210
Pledges and Grants Receivable$3,416,009$3,513,892▲ $97,883
Savings and Temporary Cash Investments-$3,000,000-
Accounts Receivable$675,649$436,243▼ $239,406
Total Assets$28,297,688$36,159,804▲ $7,862,116
Other Assets Total$4,339,843$1,679,001▼ $2,660,842
Liabilities
Other Liabilities$1,969,458$3,970,137▲ $2,000,679
Accounts Payable and Accrued Expenses$4,170,460$3,266,077▼ $904,383
Deferred Revenue$3,441,740$2,775,800▼ $665,940
Grants Payable-$150,000-
Total Liabilities$9,581,658$10,162,014▲ $580,356
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$18,716,030$25,997,790▲ $7,281,760
Total Net Assets Fund Balance$18,716,030$25,997,790▲ $7,281,760
Total Liabilities and Net Assets / Fund Balance$28,297,688$36,159,804▲ $7,862,116

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$6,801,200--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Dr Michael WhitePresident & Director
Jeff FrancisVice President & Director
Dr Jaime L BlandCEO & Director
Chad WernerDirector
Dr Ali KhanDirector
Dr Chris MaloneyDirector
Dr Emily JohnsonDirector
Dr Justin BirgeDirector
Dr Stephen DolterDirector
Dr Steven LeitchDirector
Kristie Stricklin MhaDirector
Marty FattigDirector
Matt EdwardsDirector
Mike CasslingDirector
Raju KakarlapudiDirector
Shari Flowers JdDirector
Jeanette Wojtalewicz MhaSecretary & Director
Stephanie DaubertTreasurer & Director
Lorraine EggerCFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Cynchealth Advisors INCContractors & Management11412 CENTENNIAL ROAD STE 800, Omaha, NE 68128$11,410,356
Intersystems CorporationIt Consulting & SoftwareONE MEMORIAL DRIVE, Cambridge, MA 02142$2,635,992
Interoperability Bidco Dba RhapsodyIt Consulting & Software1 BEACON ST STE 16400, Boston, MA 02108$1,288,817
Leap OrbitComputer Hosting7067 COLUMBIA GATEWAY DR STE 190, Columbia, MD 21046$719,717
Collective MedicalComputer Hosting10377 SOUTH JORDAN GATEWAY SUITE, South Jordan, UT 84095$558,119
Revenue and Support

Revenue Composition

Contributions and Grants
$20,781,528
Program Service Revenue
$3,809,797
Investment Income
$292,702
Other Revenue
$3,903,426
Change in Net Assets
$7,281,760
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$21,203,429
Grants and Similar Amounts Paid$302,264
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Information Technology$8,535,912$113,222-$8,649,134
Fees for Services Other-$1,112,441-$1,112,441
Grants to Domestic Orgs$302,264--$302,264
Insurance-$223,630-$223,630
Advertising-$126,368-$126,368
Travel-$90,518-$90,518
Fees for Services Lobbying-$34,200-$34,200
Conferences and Meetings-$13,033-$13,033
Fees for Services Legal-$4,133-$4,133
Other Expenses$10,813,203$4,077-$4,077
Office Expenses-$3,215-$3,215
Fees for Services Accounting-$2,100-$2,100
All Other Expenses-$232-$232
Total Functional Expenses$19,651,379$1,854,314$0$21,505,693
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Blue Cross Blue Shield of Nebraska FoundationOmaha, NE501(c)(3)General Support$50,000
CHILDREN'S NEBRASKAOmaha, NE501(c)(3)General Support$50,000
Chi Health FoundationOmaha, NE501(c)(3)General Support$50,000
CsriLa Vista, NE501(c)(3)Annual Membership- Nonprofit Health Data Networks$50,000
Nebraska Methodist Health SystemOmaha, NE501(c)(3)General Support$50,000
The Nebraska Medical CenterOmaha, NE501(c)(3)General Support$50,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payable$3,970,137
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Day to day management functions are provided by cynchealth advisors, inc. Under an operations/management agreement.

Form 990, Part VI, Section A, Line 6

Nehii has two classes of members, class a and class b

Form 990, Part VI, Section A, Line 7A

The board of directors votes on membership on the board and for officers at its discretion based up corporate by-laws.

Form 990, Part VI, Section B, Line 11B

Nehii provides a copy of the completed 990 with all schedules to the finance/executive committee for their review, discussion and approval after all questions/comments have been addressed. The form 990 is then submitted to the entire board of directors for their review before filing with the irs.

Form 990, Part VI, Section B, Line 12C

Annually nehii's outside legal counsel provides to the board of directors, officers and key employees of nehii a detailed questionnaire which must be completed and attested to by the above mentioned indivduals. The questionaire is designed to obtain responses to help identify conflicts and potential conflicts of interest. Outside counsel insures that all questionaires are obtained and then reviewed to determine any possible conflicts of interest and to determine compliance with nehii's policy.

Form 990, Part VI, Section B, Line 15A

The cfo leads the executive committee of the board of directors through the review of the ceo's performance against the ceo's contract discussing performance and comparing to the goals that were set in her contract. In addition goals for the next year's ceo contract are determined and documented. The executive committee consists of independent members of the board of directors. The president and cfo then meet with the ceo to discuss her prior year performance and goals are established for the future based on the executive committee's directives. Any bonus earned as well as the future compensation is also discussed. The finance committee sets the nehii employee pay levels through the budget process, set based upon the market pay.

Form 990, Part VI, Section C, Line 19

Governing documents are available to the public based upon written request.

Filing and Contact Details

Filer

Filer Name
Nebraska Health Information Initiative
EIN
26-2673338
Phone
4025069900
Address
11412 CENTENNIAL ROAD 800, LA VISTA, NE 68128
Doing Business As
Cynchealth

Signing Officer

Name
Lorraine Egger
Title
CFO
Phone
4025069900
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lorraine Egger
Formed
2008
Legal Domicile
Ne
Voting Board Members
18
Independent Board Members
17
Employees
0
Volunteers
0

Preparer

Firm
Lutz and Company Pc
Address
13616 CALIFORNIA ST STE 300, OMAHA, NE 68154-5336
Preparer
Daniel Sweeney Jd Llm
Phone
4024968800
Supplemental Narrative

Additional Explanations

PART XII, LINE 2C:

There are no changes from prior year.

Financial Statement Notes

PART X, LINE 2:

Cynchealth, collaborative, foundation, and cynchealth iowa are exempt from federal income taxes as non-profit corporations under section 501(c)(3) of the internal revenue code. The organization is not considered a private foundation. However, these organizations are subject to federal income tax on unrelated business taxable income, if any. For the years ended december 31, 2024 and 2023, the organization had no liability for unrelated business income.

Raw XML AppendixShowing 400 of 755 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0NEHII'S MISSION IS TO ORGANIZE AND OPERATE SYSTEMS FOR SECURE EXCHANGE AND USE OF HEALTH CARE DATA THROUGHOUT THE STATE OF NEBRASKA TO IMPROVE THE QUALITY AND ACCESS OF HEALTHCARE TO THE COMMUNITY WHILE REDUCING HEALTH CARE COSTS.
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt170
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IRS990/Form990PartVIISectionAGrp/PersonNm6JEFF FRANCIS
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
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IRS990/Form990PartVIISectionAGrp/TitleTxt3PRESIDENT & DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4CEO & DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5TREASURER & DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6VICE PRESIDENT & DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18CFO
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