Civic Intelligence

Nebraska Pediatric Practice Inc.

990 • Fiscal year 2017 • EIN 26-3064869

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 15, 2018

8200 Dodge StreetOmaha, NE 68114

(402) 955-4116

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

1.00x

Higher debt load relative to assets than 93% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Liabilities / Revenue

27th percentile

0.16x

Higher debt load relative to revenue than 27% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Net Margin

6th percentile

-34%

Higher net margin than 6% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Top Officer Pay

93rd percentile

$1,482,927

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 2.0% of source-year revenue.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Asset Growth

2nd percentile

-30%

Faster asset growth than 2% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Revenue Growth

60th percentile

8.1%

Faster revenue growth than 60% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Assets

Down

$11,866,008

Down $5,069,378 (-30%) from 2016

Net Assets

Flat

$0

Flat from 2016

Liabilities

Down

$11,866,008

Down $5,069,378 (-30%) from 2016

Revenue

Up

$73,440,872

Up $5,513,848 (+8.1%) from 2016

Expenses

Up

$98,630,470

Up $7,980,486 (+8.8%) from 2016

Net Income

Down

-$25,189,598

Down $2,466,638 (-11%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2017

Assets$11,866,008
Liabilities$11,866,008
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2017

Revenue$73,440,872
Expenses$98,630,470
Net Income-$25,189,598
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 15, 2018
Return Version
2017v2.3
Gross Receipts
$73,440,872
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 clnical services and other programs and activities related thereto in order to achieve the physicians' common goals of improving the manner, process, environment, accessability, timing and other factors involved in the delivery of pediatric, academic, and clinical services in order to advance the health of the children within the region. Promote and support educational and teaching programs in children's health.

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$15,277,439$10,971,669▼ $4,305,770
Cash and Non-Interest-Bearing Accounts$1,508,160$804,979▼ $703,181
Prepaid Expenses and Deferred Charges$118,542$63,251▼ $55,291
Land, Buildings, and Equipment, Net$31,245$26,109▼ $5,136
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$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
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$16,935,386$11,866,008▼ $5,069,378
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$16,935,386$11,866,008▼ $5,069,378
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$16,935,386$11,866,008▼ $5,069,378
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$0$0→ $0
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$16,935,386$11,866,008▼ $5,069,378

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$26,109$25,253$51,362
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
James Hammel MDClinical Service ChiefFT$1,326,618$156,309$1,482,927
Shahab Abdessalem MDPhysicanFT$767,330$67,476$834,806
Robert Cusick MDPhysicanFT$761,718$68,059$829,777
Stephen Raynor MDPhysicanFT$726,218$72,642$798,860
Kim Duncan MDPhysicanFT$646,037$103,576$749,613
Steven BurnhamPresidentFT$342,246$276,418$618,664
John Sparks MDMember/PhysicianFT$514,857$53,722$568,579
Robert Spicer MDVice Chairman/PhysicianFT$346,770$56,576$403,346
Kari Simonsen MDChairman/PhysicianFT$210,699$37,895$248,594
Suzanne Haney MDMember/PhysicianFT$178,746$39,359$218,105

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Children's Hospital Medical CenteOperating agreemnet8200 Dodge Street, Omaha, NE 68114$31,732,393
Univ of NE Medical CenterOperating agreement988145 Nebraska Medical Center, Omaha, NE 68198$4,831,444
Comphealth Medical StaffingTemporary staffingPO Box 972651, Dallas, TX 75397$3,277,075
Harry A Koch CoMalpractice insPO Box 3875, Omaha, NE 68103$684,296
Advanced Radiology of Grand IslandOn-call staffing527 N Diers Avenue Suite 3, Grand Island, NE 68803$591,750
Revenue and Support

Revenue Composition

Contributions and Grants
$3,083,545
Program Service Revenue
$51,721,201
Investment Income
$0
Other Revenue
$18,636,126
All Other Contributions
$3,083,545
Change in Net Assets
$-25,189,598

Audited Revenue Reconciliation

Revenue per Audited Statements
$72,052,617
Revenue Not Reported on Financial Statements
$1,388,255
Other Revenue Adjustments
$1,388,255
Total Revenue per Audited Statements
$72,052,617
Total Revenue per Form 990
$73,440,872
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$63,517,193
Other Expenses$35,113,277
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$52,804,220$428,920-$53,233,140
Fees for Services Other$20,464,734$1,035,150-$21,499,884
Pension Plan Contributions$4,284,103$47,552-$4,331,655
Occupancy$2,439,489$441,320-$2,880,809
Fees for Services Management$164,903$2,407,632-$2,572,535
Payroll Taxes$2,315,168$25,645-$2,340,813
Current Officers, Directors, Trustees, and Key Employees$2,057,288--$2,057,288
Other Employee Benefits$1,554,297--$1,554,297
Office Expenses$929,430$29,757-$959,187
All Other Expenses$152,854$437,173-$590,027
Insurance$514,844$72,610-$587,454
Other Expenses$443,761$1,348-$445,109
Travel$327,229--$327,229
Fees for Services Accounting-$68,050-$68,050
Fees for Services Legal$11,236--$11,236
Advertising-$100-$100
Total Functional Expenses$93,378,241$5,252,229$0$98,630,470

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$98,630,470
Expenses per Audited Statements$97,242,215
Total Expenses per Audited Statements$97,242,215
Expenses Not Reported on Financial Statements$1,388,255
Other Expense Adjustments$1,388,255
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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
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 family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
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, Line 6, 7A & 7B

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, a Nebraska nonprofit corporation (the hospital member). THe members retain the following powers, notwithstanding anything in these bylaws to the contrary: A. In accordance with the bylaws, each member shall have the power to appoint three directors of the corporation under Article III, Section 2, and remove directors of the coporation under Article II, Section 13. B. In accordance with the bylaws, the members shall have the power to approve the appointment and removal of the person designated by the Board of Directors as the corporation's executive director. C. The members shall have the power to approve or refuse to approve any amendment to the corporation's article of incorporation or the bylaws, or any action required to be submitted to and approved by voting members of a nonprofit corporation under the Nebraska Nonprofit Corporation Act. D. The following actions of the corporation are subject to approval by the members: (I) Adoption and adjustment of the corporations annual budget, capital expenditures budget, mission statement, operating plan, and long-range plan; (II) Incurrance of assumption of debt (other than trade payables); (III) Adoption of compensation plans; (IV) Assessments against members; (V) Reorganization and transfer of assets outside of the ordinary course of business; (VI) Establishment of a subsidiary or participation as a shareholder, partner, or member of any other entity; (VII) Any distribution of capital or net earnings of the corporation; and (VIII) Admission of new members. The affirmative approval of both members is necessary for any action of the members.

Form 990, Part VI, Line 11B

The Form 990 will be distributed via Director's Desk to the Nebraska Pediatric Board members for review prior to filing with the IRS. However, since all compensation information will be redacted from the copy sent to the Board, the taxpayer is answering the question on Part VI, Line 11A "No".

Form 990, Part VI, Line 12C

An officer, director, committee member (including a member of a board-appointed subcommittee), or key employee shall be deemed to have a potential conflict of interest in a contract or transaction if he or she, or a family member, is a party (or one of the parties) contracting or dealing with the corporation. Any duality of interest or potential conflict of interest on the part of any officer, director, committee member, or key employee should be disclosed to the Board of Directors and made a matter of record whenever it arise, or whenever it involves a matter of board action. Any officer, director, or key employee having a duality of interest or possible conflict of interest in any matter should not vote or use his or her personal influence on the matter. The majority of the board who have no conflict of interest in the transaction comprise a quorum for the purpose of taking action on a conflict transaction. In cases in which an officer, director, committee member, or key employee has a financial interest in an arrangement or transaction, the following additional steps may be taken, at the discretion of the board: A. The interested person may be required to leave the meeting for the general discussion of the matter and the board vote; and/or B. A disinterested person or committee may be appointed to investigate alternatives to the proposed agreement or transaction. All officers, directors, committee members, and key employees shall review the conflict of interest policy and complete a conflict of interest questionnaire upon initially affiliating with the corporation. Each year at an established time, a designated person within the corporation shall send disclosure questionnaires and a copy of the conflict of interest policy to all officers, directors, committee members, and key employees of the corporation. Persons receiving questionnaires shall respond with respect to potential conflicts of interest. Persons required to report who have not returned questionnaires will be contacted and follow-up will continue on a regular basis until all questionnaires have been returned. The information will be used to identify and resolve potential conflicts of interest. The Board of Directors of the corporation shall serve as the conflict review committee, unless, in its discretion, it chooses to appoint a committee composed of directors of the Board to assume the responsibility. When questionnaires or interim disclosures of any of the members of the conflict review committee are being reviewed, the member being reviewed shall be excused from the committee's deliberations and action. The conflict committee shall: 1. Review all annual disclosure questionnaires and interim supplemental disclosures from persons subject to the policy. 2. Identify potential conflicts of interest disclosed in such annual disclosure questionnaires or interim disclosures. 3. Investigate and evaluate, as necessary, potential conflicts of interest, contained in annual disclosure questionnaires or interim disclosures. 4. report findings, conclusion, and recommendation of the Board for decision and action. 5. Identify, by position or capacity, the employees or other individuals to be designated as key employees subject to disclosure requirements under the policy. 6. Keep complete records of its activities. 7. Periodically review the policy and its implementation procedures to determine whether any changes are required.

Form 990, Part VI, Line 15A

Each year, Tower Watson, an independent company, conducts a market analysis of executive compensation, to substantiate the compensation of the executive director of the corporation. The executive director is employed by the hospital member and leased to the corporation. This information is presented to the hospital member's compensation committee for review. Executive base salaries are targeted for the 50th percentile of the market. Towers Watson issues a reasonableness opinion letter regarding the appropriateness of executive pay levels. The hospital member's Board of Directors receives a report from the committee.

Form 990, Part VI, Line 15B

Officers of the corporation are not compensated for serving as officers. The corporation's management makes a determination annually of whether there are any employees who fall within the definition of key employee for purposes of filing the 990.

Form 990, Part VI, Line 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
In Care Of
% Steven C Burnham
Phone
4029554116
Address
8200 Dodge Street, Omaha, NE 68114
Doing Business As
Children's Specialty Physicians

Signing Officer

Name
Steven C Burnham
Title
President
Signed
2018-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steven C Burnham
Formed
2008
Legal Domicile
Ne
Voting Board Members
9
Independent Board Members
5
Employees
208
Volunteers
5

Preparer

Firm
Kpmg Llp
Address
1212 North 96th Street Suite 300, Omaha, NE 68114
Preparer
Donald Neal Jr
Phone
4023481450
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Support from Hospital member $25,189,598

Form 990 Part IX Line 11G

DESCRIPTION:Temp & Contract Services TOTAL FEES:11002515

Form 990 Part IX Line 11G

DESCRIPTION:Contract Physicians TOTAL FEES:5746515

Form 990 Part IX Line 11G

DESCRIPTION:Billing Fees TOTAL FEES:3496400

Form 990 Part IX Line 11G

DESCRIPTION:Residents TOTAL FEES:567372

Form 990 Part IX Line 11G

DESCRIPTION:Recruitment TOTAL FEES:238052

Form 990 Part IX Line 11G

DESCRIPTION:Communication TOTAL FEES:225040

Form 990 Part IX Line 11G

DESCRIPTION:Professional Fees TOTAL FEES:223990

Financial Statement Notes

Schedule D, Part X, Line 2

Children's Specialty Physicians (CSP) recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. As of December 31, 2017 and 2016, CSP has not recorded any amounts related to uncertain tax positions or any accrued interest and penalties.

Schedule D, Part XI, Line 4B

Provision for bad debt $1,388,255

Schedule D, Part XII, Line 4B

Provision for bad debt $1,388,255

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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 clnical services and other programs and activities related thereto in order to achieve the physicians' common goals of improving the manner, process, environment, accessability, timing and other factors involved in the delivery of pediatric, academic, and clinical services in order to advance the health of the children within the region. Promote and support educational and teaching programs in children's health.
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