Civic Intelligence

Madonna Rehabilitation Systems

990 • Fiscal year 2017 • EIN 46-4473701

Feb 29, 2016 to Feb 28, 2017 • Filed on Jul 28, 2017

17500 Burke StreetOmaha, NE 68118-2244

(402) 413-3000

Siviq Scores

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

Liabilities / Assets

98th percentile

1.67x

Higher debt load relative to assets than 98% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

67th percentile

0.47x

Higher debt load relative to revenue than 67% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Net Margin

13th percentile

-14%

Higher net margin than 13% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

93rd percentile

$654,888

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 3.5% of source-year revenue.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Asset Growth

11th percentile

-6.6%

Faster asset growth than 11% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Revenue Growth

87th percentile

47%

Faster revenue growth than 87% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2016 to 2017

Assets

Down

$5,229,225

Down $368,418 (-6.6%) from 2016

Net Assets

Down

-$3,529,314

Down $2,498,423 (-242%) from 2016

Liabilities

Up

$8,758,539

Up $2,130,005 (+32%) from 2016

Revenue

Up

$18,483,194

Up $5,903,115 (+47%) from 2016

Expenses

Up

$20,981,617

Up $6,853,439 (+49%) from 2016

Net Income

Down

-$2,498,423

Down $950,324 (-61%) from 2016

Historical Trend

Balance Sheet Trend

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

$10M$5.0M$0-$5.0M-$10MAssets 2015: $2,612,509Liabilities 2015: $2,095,301Net Assets 2015: $517,2082015Assets 2016: $5,597,643Liabilities 2016: $6,628,534Net Assets 2016: -$1,030,8912016Assets 2017: $5,229,225Liabilities 2017: $8,758,539Net Assets 2017: -$3,529,3142017Assets 2018: $3,939,406Liabilities 2018: $9,852,153Net Assets 2018: -$5,912,7472018

Highlighted filing

2017

Assets$5,229,225
Liabilities$8,758,539
Net Assets-$3,529,314

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MRevenue 2015: $1,552,648Expenses 2015: $7,035,440Net Income 2015: -$5,482,7922015Revenue 2016: $12,580,079Expenses 2016: $14,128,178Net Income 2016: -$1,548,0992016Revenue 2017: $18,483,194Expenses 2017: $20,981,617Net Income 2017: -$2,498,4232017Revenue 2018: $21,591,862Expenses 2018: $23,975,295Net Income 2018: -$2,383,4332018

Highlighted filing

2017

Revenue$18,483,194
Expenses$20,981,617
Net Income-$2,498,423
Jump To
Filing Snapshot
Filing Period
Feb 29, 2016 to Feb 28, 2017
Signed
Jul 28, 2017
Return Version
2016v3.0
Gross Receipts
$19,534,289
Mission and Program Overview

Mission

Madonna rehabilitation systems was formed by madonna rehabilitation hospital "mrh" to serve as mrh's new long-term care hospital "ltch" component of its madonna omaha project in omaha, nebraska. It is a catholic hospital that provides physical medicine and rehabilitation services to adults throughout the nation. We rehabilitate those who have sustained injuries or disabling conditions so they can fully participate in life; lead research to improve outcomes; and prevent physical disabilities and promote wellness through community programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$3,331,237$4,494,031▲ $1,162,794
Land, Buildings, and Equipment, Net$1,284,943--
Cash and Non-Interest-Bearing Accounts$624,050$708,745▲ $84,695
Prepaid Expenses and Deferred Charges$161,272--
Inventories for Sale or Use$196,141$26,449▼ $169,692
Total Assets$5,597,643$5,229,225▼ $368,418
Liabilities
Accounts Payable and Accrued Expenses$6,599,409$8,758,539▲ $2,159,130
Other Liabilities$29,125$0▼ $29,125
Total Liabilities$6,628,534$8,758,539▲ $2,130,005
Net Assets / Fund Balance
Unrestricted Net Assets$-1,030,891$-3,529,314▼ $2,498,423
Total Net Assets Fund Balance$-1,030,891$-3,529,314▼ $2,498,423
Total Liabilities and Net Assets / Fund Balance$5,597,643$5,229,225▼ $368,418
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jason DollSecretaryFT$94,030$38,833$132,863

Board Members and Trustees

NameTitle
Gary PerkinsChairperson
Paul a DongilliPresident and CEO (as of 0
Marsha LommelPresident and CEO (thru 01
Fr John SullivanVice Chairperson
David Gannon Md Facp FaccpMember
Kacey Lempka CPAMember
Gary HausmannTreasurer
Victor WitkowiczTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Bellevue Medical Center LLCVarious Services988145 NEBRASKA MEDICAL CNTR, Omaha, NE 68198-8145$2,092,045
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$18,483,194
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-2,498,423
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$14,428,792
Salaries, Compensation, and Employee Benefits$6,552,825
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Occupancy$4,463,689$2,872,841-$7,336,530
Other Salaries and Wages$5,162,275$41,528-$5,203,803
Fees for Services Management$2,293,872$87,005-$2,380,877
Fees for Services Other$831,247$1,186,301-$2,017,548
Office Expenses$1,606,030$21,030-$1,627,060
Other Expenses$724,315$2,010-$726,325
Other Employee Benefits$545,337$178,509-$723,846
Payroll Taxes$381,968$10,724-$392,692
Depreciation Depletion$145,329$88,135-$233,464
Pension Plan Contributions$138,454--$138,454
Current Officers, Directors, Trustees, and Key Employees-$94,030-$94,030
Information Technology$59,453--$59,453
Travel$45,056--$45,056
Conferences and Meetings$400$2,079-$2,479
Total Functional Expenses$16,397,425$4,584,192$0$20,981,617
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Various services such as pharmacy, environmental services, food services and other services are contracted through the bellevue medical center; an outside medical corporation. No current or former officers, directors, trustees, key employees, or highest compensated employees were compensated by bellevue medical center during the tax year.

Form 990, Part VI, Section A, Line 6

Madonna rehabilitation hospital, a nebraska nonprofit corporation, is the sole member of madonna rehabilitation systems.

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

The diocesan health ministries may designate one member of the organization's board of directors, as provided in the organization's articles of incorporation.

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

The following reserve powers are vested in the sole member, madonna rehabilitation hospital: the board of directors shall approve and forward to the member, for final approval: (i) changes in philosophy and mission; (ii) matters involving sale, lease, transfer, exchange, disposition, pledge or alienation of real property in excess of five hundred thousand dollars ($500,000.00); (iii) matters involving purchase and/or encumbrance with debt, in any way, of real property in excess of five hundred thousand dollars ($500,000.00); (iv) lay members nominated to serve on the board of directors; (v) amendments, alterations or changes in the articles of incorporation or bylaws; (vi) the annual capital budget; (i) president and ceo selection; and (ii) merger, consolidation, dissolution. The board of directors approves and forwards to the member, for its review: the annual report; and the operating budget.

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

Prior to filing the organization's form 990, the chief financial officer presents the completed form 990 and an executive overview of the form 990 to the board of directors at a regularly scheduled meeting. Upon board resolution to accept the form 990 the form 990 is filed with the internal revenue service.

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

The organization annually distributes its conflict of interest policy and disclosure form to directors, officers and key employees. The responses are reviewed by the board of directors and its counsel, and any appropriate action is taken, based upon those responses and the subsequent review.

Form 990, Part VI, Section B, Line 15

The ceo is compensated by the related entity, madonna rehabilitation hospital. The following is the executive compensation plan for madonna rehabilitation hospital. Madonna executive compensation plan the executive compensation committee will make recommendations for the annual compensation of the chief executive officer (ceo), chief operations officer (coo), and chief financial officer (cfo). The madonna executive compensation plan requires national salary benchmarks be used for the ceo, coo and cfo positions. Base salary: the executive compensation committee annually determines the ceo's base salary by reviewing 990 data from nonprofit rehabilitation hospitals at a national level. The data from nonprofit rehabilitation hospitals should be for hospitals within approximately plus or minus 50% of madonna's gross revenues recognizing a need for a minimum of at least eight comparable sized institutions. The analysis includes calculating the salaries for benchmark firms provided by the director human resources. Comparative salaries for the coo and cfo will be provided to the executive compensation committee of the board. The philosophy is to match the compensation of other non-profit rehabilitation hospitals, using the same guidelines as outlined in paragraph 1. Above.

Form 990, Part VI, Section C, Line 19

Summarized financial information is made available to the public on an annual basis through the publication of the hospital's public annual report. In addition, the public annual report is available on the hospital's website. The hospital's governing documents and conflict of interest policy are not available to the public.

Filing and Contact Details

Filer

Filer Name
Madonna Rehabilitation Systems
EIN
46-4473701
Phone
4024133000
Address
17500 BURKE STREET, OMAHA, NE 68118-2244
Doing Business As
Madonna Rehabilitation Specialty Hospital

Signing Officer

Name
Victor Witkowicz
Title
Senior VP and CFO
Phone
4024133000
Signed
2017-07-28

Organization Details

Principal Officer
Victor Witkowicz
Formed
2014
Legal Domicile
Ne
Voting Board Members
5
Independent Board Members
5
Employees
152
Volunteers
0
Supplemental Narrative

Additional Explanations

PART IV, LINE 20B:

Madonna rehabilitation systems is part of a consolidated group of related organizations and was included in the consolidated audited financial statements at june 30, 2016. No independent audit was performed for madonna rehabilitation systems individually.

Financial Statement Notes

PART X, LINE 2:

The hospital is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code. The hospital has received a determination letter that it is exempt from federal income taxes on related income pursuant to section 501(a) of the internal revenue code. The internal revenue service has established standards to be met to maintain tax exempt status. In general, such standards require the hospital to meet a community benefit standard and comply with various laws and regulations. The hospital accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in fasb asc topic 740, income taxes. The hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At june 30, 2016 and 2015, the hospital had no uncertain tax positions accrued.

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IRS990/MissionDesc0MADONNA REHABILITATION SYSTEMS WAS FORMED BY MADONNA REHABILITATION HOSPITAL "MRH" TO SERVE AS MRH'S NEW LONG-TERM CARE HOSPITAL "LTCH" COMPONENT OF ITS MADONNA OMAHA PROJECT IN OMAHA, NEBRASKA. IT IS A CATHOLIC HOSPITAL THAT PROVIDES PHYSICAL MEDICINE AND REHABILITATION SERVICES TO ADULTS THROUGHOUT THE NATION. WE REHABILITATE THOSE WHO HAVE SUSTAINED INJURIES OR DISABLING CONDITIONS SO THEY CAN FULLY PARTICIPATE IN LIFE; LEAD RESEARCH TO IMPROVE OUTCOMES; AND PREVENT PHYSICAL DISABILITIES AND PROMOTE WELLNESS THROUGH COMMUNITY PROGRAMS.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/NetAssetsOrFundBalancesEOYAmt0-3529314
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt02872841
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IRS990/OccupancyGrp/TotalAmt07336530
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt021030
IRS990/OfficeExpensesGrp/ProgramServicesAmt01606030
IRS990/OfficeExpensesGrp/TotalAmt01627060
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0178509
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0545337
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0723846
IRS990/OtherExpensesGrp/Desc0MISCELLANEOUS
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt02010
IRS990/OtherExpensesGrp/ProgramServicesAmt0724315
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IRS990/OtherLiabilitiesGrp/BOYAmt029125
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt041528
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt05162275
IRS990/OtherSalariesAndWagesGrp/TotalAmt05203803
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt010724
IRS990/PayrollTaxesGrp/ProgramServicesAmt0381968
IRS990/PayrollTaxesGrp/TotalAmt0392692
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0138454
IRS990/PensionPlanContributionsGrp/TotalAmt0138454
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0161272
IRS990/PrincipalOfficerNm0VICTOR WITKOWICZ
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/Desc0PATIENT SERVICE REVENU
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt018483194
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
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IRS990/PYTotalProfFndrsngExpnsAmt00
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IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-2498423
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt018483194
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE THE HOSPITAL TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. THE HOSPITAL ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2016 AND 2015, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleH/AnnualCommunityBnftReportInd01
IRS990ScheduleH/BadDebtExpenseAmt0488220
IRS990ScheduleH/BadDebtExpenseReportedInd01
IRS990ScheduleH/CostingMethodologyUsedGrp/CostAccountingSystemInd0X
IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt014762609
IRS990ScheduleH/EconomicDevelopmentGrp/ActivitiesOrProgramsCnt01
IRS990ScheduleH/ExpensesExceedBudgetInd00
IRS990ScheduleH/FinancialAssistanceAtCostTyp/NetCommunityBenefitExpnsAmt0299717
IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalCommunityBenefitExpnsAmt0299717
IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalExpensePct00.01430
IRS990ScheduleH/FinancialAssistanceBudgetInd01
IRS990ScheduleH/FinancialAssistancePolicyInd01
IRS990ScheduleH/FinancialAssistancePrvsnInd01
IRS990ScheduleH/FPGReferenceDiscountedCareInd00
IRS990ScheduleH/FPGReferenceFreeCareInd01
IRS990ScheduleH/FreeCareMedicallyIndigentInd01
IRS990ScheduleH/FreeCareOthPercentageGrp/FreeCareOtherPct0300.000000000000
IRS990ScheduleH/FreeCareOthPercentageGrp/OtherInd0X
IRS990ScheduleH/HospitalFacilitiesCnt01
IRS990ScheduleH/HospitalFacilitiesGrp/BusinessName/BusinessNameLine1Txt0MADONNA REHABILITATION SYSTEMS
IRS990ScheduleH/HospitalFacilitiesGrp/FacilityNum01
IRS990ScheduleH/HospitalFacilitiesGrp/LicensedHospitalInd0X
IRS990ScheduleH/HospitalFacilitiesGrp/StateLicenseNum0H000129
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt017500 BURKE STREET
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/CityNm0OMAHA
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/StateAbbreviationCd0NE
IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/ZIPCd0681182244
IRS990ScheduleH/HospitalFacilitiesGrp/WebsiteAddressTxt0WWW.MADONNA.ORG
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AmountsGenerallyBilledInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AppFinancialAsstExplnInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/AssetLevelCriteriaInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedWithNonFcltsInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedWithOtherFcltsInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAConductedYr016
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CHNAReportWidelyAvailableInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CollectionActivitiesInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityDefinitionInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityDemographicsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHealthNeedsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommunityHlthNeedsIdProcessInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/CommuntityNotifiedFAPInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ConsultingProcessInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedInfoInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/DescribedSuprtDocInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/EligCriteriaExplainedInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExistingResourcesInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ExplainedBasisInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FacilityNum01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPActionsOnNonpaymentInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvailableOnWebsiteInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvailableOnWebsiteURLTxt0WWW.MADONNA.ORG/MY-MADONNA/SERVICES.HTML
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAppAvlblOnRequestNoChrgInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvailableOnWebsiteInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvailableOnWebsiteURLTxt0WWW.MADONNA.ORG/MY-MADONNA/SERVICES.HTML
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPAvlblOnRequestNoChargeInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSumAvlblOnRequestNoChrgInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPSummaryOnWebsiteInd0X
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IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPTranslatedInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FirstLicensedCYOrPYInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeCarePct0300.000000000000
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FPGFamilyIncmLmtFreeDscntInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/GrossChargesInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HospitalFacilityName/BusinessNameLine1Txt0MADONNA REHABILITATION SYSTEMS
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/HowDataObtainedInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ImplementationStrategyAdoptInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ImplementationStrategyAdptYr016
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/IncludesPublicityMeasuresInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/InsuranceStatusCriteriaInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/LookBackMedicarePrivateInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MadeEffortOrallyNotifyInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MadePresumptiveEligDetermInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/MedicalIndigencyCriteriaInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NoEmergencyCareInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NondisEmergencyCarePolicyInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NotifiedFAPCopyBillDisplayInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OrganizationIncurExciseTaxInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherHealthIssuesInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OwnWebsiteURLTxt0HTTP://WWW.MADONNA.ORG/MY-MADONNA/CHNA.HTML
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PaperCopyPublicInspectionInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PermitNoActionsInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/PriorCHNAImpactInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProcessedFAPApplicationInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ProvidedHospitalContactInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ResidencyCriteriaInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/RptAvailableOnOwnWebsiteInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/StrategyAttachedInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/StrategyPostedWebsiteInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/TakeIntoAccountOthersInputInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/TaxExemptHospitalCYOrPYInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/UnderinsuranceStatCriteriaInd0X
IRS990ScheduleH/MedicareSurplusOrShortfallAmt0-2978181
IRS990ScheduleH/ReimbursedByMedicareAmt011784428
IRS990ScheduleH/ReportPublicallyAvailableInd01
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt0THE COMMUNITY BENEFIT INFORMATION FOR THIS HOSPITAL WAS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR THE RELATED ORGANIZATION MADONNA REHABILITATION HOSPITAL.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt1ACCORDING TO DR. ERIC THOMPSON, ASSOCIATE PROFESSOR OF ECONOMICS AND DIRECTOR OF THE BUREAU OF BUSINESS RESEARCH AT THE UNIVERSITY OF NEBRASKA-LINCOLN, THE $93.6 MILLION OMAHA CAMPUS PROJECT WILL CREATE AN ECONOMIC IMPACT OF: $122 MILLION DURING THE TWO-YEAR CONSTRUCTION PHASE. 450 INITIAL JOBS - 250 OF WHICH ARE IN CONSTRUCTION. $66 MILLION OF ANNUAL REVENUE, CREATING AN ECONOMIC IMPACT OF $126 MILLION. 1,170 JOBS (OMAHA CAMPUS POSITIONS AND AFFILIATED PRODUCT/SERVICES JOBS) WILL BE CREATED ONCE THE FACILITY IS OPERATIONAL IN THE FIRST WEEK OF OCTOBER 2016.THE EXPENSES ASSOCIATED WITH THE IMPACT ARE INCLUDED IN THE OPERATING LOSSES IN PARTS I AND III.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt2THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL EVALUATES INDIVIDUAL ACCOUNTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND ASSESSES THOSE ACCOUNTS THAT WILL TRANSITION TO SELF-PAY PATIENTS. THOSE TRANSITION ACCOUNTS ARE CONSIDERED IN CONJUNCTION WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE WHICH INDICATES THAT CERTAIN PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN MANY CASES, THE HOSPITAL IS ABLE TO NEGOTIATE PAYMENT SUBSEQUENT TO THE INITIAL DETERMINATION OF THE COLLECTABILITY OF THE ACCOUNT. IN THESE CASES, THE HOSPITAL RECORDS ADDITIONAL CONTRACTUAL ALLOWANCES AND DISCOUNTS. UPON CONSIDERATION OF THE FACT CERTAIN PATIENT ACCOUNTS THAT WERE PREVIOUSLY ALLOWED FOR ARE COLLECTED THROUGH NEGOTIATION AND ADJUSTED AT THE TIME OF PAYMENT, THE HOSPITAL HAS DETERMINED THE PROVISION FOR BAD DEBTS IS NOT SIGNIFICANT TO THE FINANCIAL STATEMENTS AND HAS COMBINED WITH CONTRACTUAL ALLOWANCES AND DISCOUNTS.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt3THE AMOUNT WAS DETERMINED USING INTERNAL PROGRAM FINANCIAL STATEMENTS WHICH USE DEPARTMENTALIZED COST TO CHARGE RATIOS AND OTHER ALLOCATION METHODS TO DETERMINE THE COST BASIS. THE CALCULATED MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE IT REPRESENTS UNREIMBURSED COSTS FOR PATIENT SERVICES. THESE UNREIMBURSED COSTS ARE MADONNA REHABILITATION SPECIALTY HOSPITAL EXPENSES THAT BENEFIT THE COMMUNITY MADONNA SERVES.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt4THE PATIENT MUST PROVIDE DOCUMENTATION (OUTLINED IN THE APPLICATION) WHICH WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE (FA). IF IT IS DETERMINED THAT THE PATIENT QUALIFIES FOR 100% FA, NO FURTHER COLLECTION EFFORTS ARE MADE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt5NE
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 6A:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc1PART II, COMMUNITY BUILDING ACTIVITIES:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc2PART III, LINE 4:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc3PART III, LINE 8:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc4PART III, LINE 9B:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc5PART VI, LINE 7, REPORTS FILED WITH STATES
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt0PART V, SECTION B, LINE 6A: THE HOSPITAL CONDUCTED THE CHNA WITH MADONNA REHABILITATION HOSPITAL.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt1PART V, SECTION B, LINE 13H: FPG IS USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF FINANCIAL ASSISTANCE IS GRANTED, IT IS FOR FREE CARE ONLY.
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc0MADONNA REHABILITATION SYSTEMS
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc1MADONNA REHABILITATION SYSTEMS
IRS990ScheduleH/TotalCommunityBenefitsGrp/NetCommunityBenefitExpnsAmt0299717
IRS990ScheduleH/TotalCommunityBenefitsGrp/TotalCommunityBenefitExpnsAmt0299717
IRS990ScheduleH/TotalCommunityBenefitsGrp/TotalExpensePct00.01430
IRS990ScheduleH/TotalCommuntityBuildingActyGrp/ActivitiesOrProgramsCnt01
IRS990ScheduleH/TotalFinancialAssistanceTyp/NetCommunityBenefitExpnsAmt0299717
IRS990ScheduleH/TotalFinancialAssistanceTyp/TotalCommunityBenefitExpnsAmt0299717
IRS990ScheduleH/TotalFinancialAssistanceTyp/TotalExpensePct00.01430
IRS990ScheduleH/WrittenDebtCollectionPolicyInd01
IRS990ScheduleH/WrittenPolicyInd01
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd01
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd01
IRS990ScheduleJ/EquityBasedCompArrngmInd00

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