Civic Intelligence

Nebraska Pediatric Practice Inc

EIN 26-3064869 • 501(c)3 • Omaha, NE

Profile

Provides a means whereby the resources, expertise, and knowledge of the pediatric specialty physicians can be marshaled to develop, promote, and make available to patients from Omaha, NE and the surrounding area, pediatric academic and clinical services and other programs and activities related thereto in order to achieve the physicians' common goals of improving the manner, process, environment, accessibility, timing and other factors involved in the delivery of pediatric academic and clinical services in order to advance the health of the children within the region. Promote and support educational and teaching programs in children's health.

8200 Dodge StreetOmaha, NE 68114

www.childrensspecialtyphysicians.org

Siviq Scores

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

Liabilities / Assets

92nd percentile

1.00x

Higher debt load relative to assets than 92% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

30th percentile

0.20x

Higher debt load relative to revenue than 30% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

3rd percentile

-70%

Higher net margin than 3% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

90th percentile

$1,753,856

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

84th percentile

18%

Faster asset growth than 84% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

65th percentile

14%

Faster revenue growth than 65% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$22,662,520

Up $1,758,631 (+8.4%) from 2022

Liabilities

Up

$22,662,520

Up $1,758,631 (+8.4%) from 2022

Net Assets

Flat

$0

Flat from 2022

Revenue

Up

$112,430,774

Up $8,334,950 (+8.0%) from 2022

Expenses

Up

$191,636,596

Up $26,290,304 (+16%) from 2022

Net Income

Down

-$79,205,822

Down $17,955,354 (-29%) from 2022

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2012: $8,274,851Liabilities 2012: $8,274,851Net Assets 2012: $02012Assets 2013: $9,861,438Liabilities 2013: $9,861,438Net Assets 2013: $02013Assets 2014: $12,311,169Liabilities 2014: $12,311,169Net Assets 2014: $02014Assets 2015: $18,462,238Liabilities 2015: $18,462,238Net Assets 2015: $02015Assets 2016: $16,935,386Liabilities 2016: $16,935,386Net Assets 2016: $02016Assets 2017: $11,866,008Liabilities 2017: $11,866,008Net Assets 2017: $02017Assets 2018: $11,807,715Liabilities 2018: $11,807,715Net Assets 2018: $02018Assets 2019: $15,650,196Liabilities 2019: $15,650,196Net Assets 2019: $02019Assets 2021: $19,693,690Liabilities 2021: $19,693,690Net Assets 2021: $02021Assets 2022: $20,903,889Liabilities 2022: $20,903,889Net Assets 2022: $02022Assets 2024: $22,662,520Liabilities 2024: $22,662,520Net Assets 2024: $02024

Highlighted filing

2024

Assets$22,662,520
Liabilities$22,662,520
Net Assets$0

Operations Trend

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

$200M$100M$0-$100MExpenses 2012: $58,553,9752012Expenses 2013: $62,051,2782013Revenue 2014: $52,792,802Expenses 2014: $68,286,991Net Income 2014: -$15,494,1892014Revenue 2015: $64,045,245Expenses 2015: $83,569,592Net Income 2015: -$19,524,3472015Revenue 2016: $67,927,024Expenses 2016: $90,649,984Net Income 2016: -$22,722,9602016Revenue 2017: $73,440,872Expenses 2017: $98,630,470Net Income 2017: -$25,189,5982017Revenue 2018: $79,992,196Expenses 2018: $108,199,663Net Income 2018: -$28,207,4672018Revenue 2019: $83,093,909Expenses 2019: $124,798,749Net Income 2019: -$41,704,8402019Revenue 2021: $95,753,000Expenses 2021: $149,005,598Net Income 2021: -$53,252,5982021Revenue 2022: $104,095,824Expenses 2022: $165,346,292Net Income 2022: -$61,250,4682022Revenue 2024: $112,430,774Expenses 2024: $191,636,596Net Income 2024: -$79,205,8222024

Highlighted filing

2024

Revenue$112,430,774
Expenses$191,636,596
Net Income-$79,205,822

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 10, 2025
Return Version
2024v5.2
Gross Receipts
$112,430,774
Mission and Program Overview

Mission

Provides a means whereby the resources, expertise, and knowledge of the pediatric specialty physicians can be marshaled to develop, promote, and make available to patients from omaha, ne and the surrounding area, pediatric, academic, and clinical services and other programs and activities related thereto in order to achieve the physicians' common goals of improving the manner, process, environment, accessibility, timing and other factors involved in the delivery of pediatric, academic, and clinical services in order to advance the health of the children within the region. Promote and support educational and teaching programs in children's health.

To develop, promote and make available to children from omaha, nebraska, and the region, clinical services and other related programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$14,696,052$13,777,508▼ $918,544
Cash and Non-Interest-Bearing Accounts$3,202,971$7,148,152▲ $3,945,181
Prepaid Expenses and Deferred Charges$370,364$508,895▲ $138,531
Other Notes and Loans Receivable, Net$347,428$456,279▲ $108,851
Savings and Temporary Cash Investments$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$19,206,110$22,662,520▲ $3,456,410
Other Assets Total$589,295$771,686▲ $182,391
Liabilities
Accounts Payable and Accrued Expenses$18,347,685$21,474,022▲ $3,126,337
Other Liabilities$858,425$1,188,498▲ $330,073
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$19,206,110$22,662,520▲ $3,456,410
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$19,206,110$22,662,520▲ $3,456,410
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ali Ibrahimiye MdPhysicianFT$1,300,468$453,388$1,753,856
Camille Hancock Friesen MdPhysicianFT$1,426,900$175,045$1,601,945
Ram Kumar Subramanyan MdDiv Chief of Ct SurgeryFT$1,367,720$144,938$1,512,658
Abdalla Zarroug MdDiv Chief of Pediatric SurgeryFT$805,567$180,299$985,866
Travis Kruse MdDiv Chief of RadiologyFT$730,436$195,668$926,104
Robert Cusick MdVice Chair/physicianFT$768,482$114,453$882,935
Alan Tingley MdPresidentFT$655,050$198,837$853,887
Jessica Goeller MdChair/div Chief of Ped AnesthFT$625,579$118,149$743,728
Kari Simonsen MdMember/chair of PediatricsFT$561,734$120,634$682,368
Zebulon Timmons MdMember/div Chief of EmergencyFT$384,734$84,975$469,709
Andrew Huang Pacheco MdMember/physicianFT$249,103$194,112$443,215
Aleisha Nabower MdMember/physicianFT$254,295$48,266$302,561

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Nebraska MedicineOperating Agreement988145 NEBRASKA MEDICAL CENTER, Omaha, NE 68198$2,706,374
Comphealth Med Staffing (chg Companies)Temporary StaffingPO BOX 972651, Dallas, TX 75397$1,589,906
Univ Of Ne Medical CenterOperating Agreement985045 NEBRASKA MEDICAL CENTER, Omaha, NE 68198$1,495,707
Weatherby Locums INCTemporary StaffingPO BOX 972633, Dallas, TX 75397$767,827
Advanced Radiology Of Grand Island PCRadiology Services527 N DIERS AVENUE SUITE 3, Grand Island, NE 68803$687,500
Revenue and Support

Revenue Composition

Contributions and Grants
$201,315
Program Service Revenue
$111,995,110
Investment Income
$13,694
Other Revenue
$220,655
All Other Contributions
$201,315
Change in Net Assets
$-79,205,822

Audited Revenue Reconciliation

Revenue per Audited Statements
$109,872,596
Revenue Not Reported on Financial Statements
$2,558,178
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$2,558,178
Total Revenue per Audited Statements
$109,872,596
Total Revenue per Form 990
$112,430,774
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$126,453,546
Other Expenses$62,624,871
Grants and Similar Amounts Paid$2,558,179
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$103,826,507$1,229,981-$105,056,488
Fees for Services Other$45,350,507$939,992-$46,290,499
Pension Plan Contributions$7,897,063--$7,897,063
Other Employee Benefits$5,217,446--$5,217,446
Occupancy$4,030,170$351,034-$4,381,204
Payroll Taxes$4,131,202$47,174-$4,178,376
Current Officers, Directors, Trustees, and Key Employees$4,104,173--$4,104,173
Fees for Services Management-$3,319,605-$3,319,605
Grants to Domestic Individuals$2,558,179--$2,558,179
Office Expenses$2,235,575$601-$2,236,176
Insurance$1,512,693$86,668-$1,599,361
Depreciation Depletion$838,563--$838,563
Travel$701,980$4,494-$706,474
All Other Expenses$323,484$114,216-$437,700
Other Expenses$36,212$146,732-$182,944
Fees for Services Accounting-$121,479-$121,479
Fees for Services Legal$14,492$800-$15,292
Total Functional Expenses$184,439,306$7,197,290$0$191,636,596

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$191,636,596
Expenses per Audited Statements$189,078,418
Total Expenses per Audited Statements$189,078,418
Expenses Not Reported on Financial Statements$2,558,178
Other Expense Adjustments$2,558,178
Expenses Not Reported on Form 990$0
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease/loan Obligation$765,650
Deferred Compensation$269,624
Current Portion of Lease Payment$153,224
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

There are two members of the corporation: (a) the board of regents of the university of nebraska, a public body corporate, acting on behalf of the university of nebraska medical center, college of medicine (the academic member), and (b) children's hospital and medical center, a nebraska nonprofit corporation (the hospital member). The members retain the following powers, notwithstanding anything in these bylaws to the contrary: a. In accordance with the bylaws, each member shall have the power to appoint certain directors of the corporation under article iii, section 2, and remove certain directors of the corporation under article ii, section 11. B. In accordance with the bylaws, the members shall have the power to approve the appointment and removal of the person designated by the board of directors as the corporation's executive director. C. The members shall have the power to approve or refuse to approve any amendment to the corporation's article of incorporation or the bylaws, or any action required to be submitted to and approved by voting members of a nonprofit corporation under the nebraska nonprofit corporation act. D. The following actions of the corporation are subject to approval by the members: (i) adoption and adjustment of the corporations annual budget, capital expenditures budget, mission statement, operating plan, and long-range plan; (ii) incurrence of assumption of debt (other than trade payables); (iii) adoption of compensation plans; (iv) assessments against members; (v) reorganization and transfer of assets outside of the ordinary course of business; (vi) establishment of a subsidiary or participation as a shareholder, partner, or member of any other entity; (vii) any distribution of capital or net earnings of the corporation; (viii) dissolution of the corporation; and (ix) admission of new members. The affirmative approval of both members is necessary for any action of the members.

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

See narrative above for form 990, part vi, section a, line 6.

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

See narrative above for form 990, part vi, section a, line 6.

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

The form 990 will be distributed via boardvantage to the nebraska pediatric practice board members for review prior to filing with the irs. However, since all compensation information will be redacted from the copy sent to the board, the taxpayer is answering the question on part vi, line 11a "no".

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

Nebraska pediatric practice has a conflict of interest policy which exists to identify and ethically resolve conflicts of interest which may exist on the part of directors, officers, and members of committees as required by standards promulgated by the joint commission, the internal revenue code and treasury regulations governing tax-exempt organizations, requirements placed upon providers by medicare and medicaid program regulations, and state law. An officer, director, or committee member will be deemed to have a potential conflict of interest in a contract or transaction if he or she, or a family member, is a party (or one of the parties) contracting or dealing with nebraska pediatric practice, or if he or she, or a family member, is a director, officer, or general partner in, or has a financial interest in, the entity contracting or dealing with nebraska pediatric practice. Any potential conflict of interest should be disclosed to the board of directors and made a matter of record whenever it arises, or whenever it involves a matter of board action. Any officer, director, or committee member having a possible conflict of interest in any matter should not vote or use his or her personal influence on the matter. Transactions involving persons with conflicts must be approved in advance by a majority of disinterested directors. Disinterested directors are those directors having no direct or indirect interest in the issue or transaction. In order to approve an arrangement or transaction involving conflicts of interest, the board must first find, by majority vote of disinterested directors, at a meeting at which a quorum is present, that the arrangement is in nebraska pediatric practice's best interest, is fair and reasonable to nebraska pediatric practice and that, after reasonable investigation, the disinterested directors have determined that a more advantageous transaction or arrangement cannot be obtained with reasonable efforts under the circumstances. All officers, directors and committee members are required to review the conflict of interest policy and complete a conflict of interest questionaire upon initially joining the boards of directors and annually thereafter. The corporation's board of directors shall serve as the conflict review committee, unless it chooses to appoint a committee composed of the directors of the board to assume this responsibility. When questionaires or interim disclosures of any member of the conflict review committee are being reviewed, the member being reviewed shall be excused from the committee's deliberation and action.

Form 990, Part VI, Section B, Line 15

Each year, an independent company conducts a market analysis of compensation, to substantiate the compensation of the president of the corporation as well as the physicians. This information is presented to the compensation committee of the hospital member's board of directors. The independent company issues an annual reasonableness opinion letter regarding the approrpriateness of executive and physician pay levels. The hospital member's board of directors receives a report from the committee.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy, and financial statements are not available to the public.

Filing and Contact Details

Filer

Filer Name
Nebraska Pediatric Practice Inc
EIN
26-3064869
Phone
4029556262
Address
8200 DODGE STREET, OMAHA, NE 68114
Doing Business As
CHILDREN'S SPECIALTY PHYSICIANS

Signing Officer

Name
Alan Tingley
Title
Md
Phone
4029556262
Signed
2025-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alan Tingley
Formed
2008
Legal Domicile
Ne
Voting Board Members
12
Independent Board Members
4
Employees
324
Volunteers
5

Preparer

Firm
Kpmg Llp
Address
1212 NORTH 96TH STREET SUITE 300, OMAHA, NE 68114
Preparer
Sophie R King
Phone
4023481450
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Staff support: program service expenses 29,959,629. Management and general expenses 0. Fundraising expenses 0. Total expenses 29,959,629. Contract providers: program service expenses 9,326,238. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,326,238. Billing fees: program service expenses 5,603,806. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,603,806. Recruitment: program service expenses 151,645. Management and general expenses 40,256. Fundraising expenses 0. Total expenses 191,901. Consulting: program service expenses 37,288. Management and general expenses 321,051. Fundraising expenses 0. Total expenses 358,339. Collection: program service expenses 0. Management and general expenses 505,903. Fundraising expenses 0. Total expenses 505,903. Other: program service expenses 271,901. Management and general expenses 72,782. Fundraising expenses 0. Total expenses 344,683.

FORM 990, PART XI, LINE 9:

Support from hospital member 79,205,822.

Form 990, Part XI, Line 9

Support from hospital member for cash flow - reason for no fund balance at end of year: $79,205,823.

Financial Statement Notes

PART X, LINE 2:

Nebraska pediatric practice (npp) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. As of december 31, 2024 or 2023, npp has not recorded any amounts related to uncertain tax positions or any accrued interest and penalties.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

CHARITY CARE 2,558,178.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

CHARITY CARE 2,558,178.

Raw XML AppendixShowing 400 of 821 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/Form990PartVIISectionAGrp/TitleTxt0CHAIR/DIV CHIEF OF PED ANESTH
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IRS990/Form990PartVIISectionAGrp/TitleTxt16DIV CHIEF OF PEDIATRIC SURGERY
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIV CHIEF OF CT SURGERY
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIV CHIEF OF RADIOLOGY
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IRS990/MissionDesc0PROVIDES A MEANS WHEREBY THE RESOURCES, EXPERTISE, AND KNOWLEDGE OF THE PEDIATRIC SPECIALTY PHYSICIANS CAN BE MARSHALED TO DEVELOP, PROMOTE, AND MAKE AVAILABLE TO PATIENTS FROM OMAHA, NE AND THE SURROUNDING AREA, PEDIATRIC, ACADEMIC, AND CLINICAL SERVICES AND OTHER PROGRAMS AND ACTIVITIES RELATED THERETO IN ORDER TO ACHIEVE THE PHYSICIANS' COMMON GOALS OF IMPROVING THE MANNER, PROCESS, ENVIRONMENT, ACCESSIBILITY, TIMING AND OTHER FACTORS INVOLVED IN THE DELIVERY OF PEDIATRIC , ACADEMIC, AND CLINICAL SERVICES IN ORDER TO ADVANCE THE HEALTH OF THE CHILDREN WITHIN THE REGION. PROMOTE AND SUPPORT EDUCATIONAL AND TEACHING PROGRAMS IN CHILDREN'S HEALTH.
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