Civic Intelligence

Madonna Rehabilitation Systems

990 • Fiscal year 2018 • EIN 46-4473701

Mar 01, 2018 to Sep 30, 2018 • Filed on Jan 21, 2019

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

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2018

Liabilities / Revenue

7th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Net Margin

20th percentile

-8.0%

Higher net margin than 20% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2018

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2016 to 2018

Revenue Growth

14th percentile

-18%

Faster revenue growth than 14% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2016 to 2018

Assets

Down

$0

Down $5,229,225 (-100%) from 2017

Net Assets

Up

$0

Up $3,529,314 (+100%) from 2017

Liabilities

Down

$0

Down $8,758,539 (-100%) from 2017

Revenue

Down

$8,531,905

Down $9,951,289 (-54%) from 2017

Expenses

Down

$9,210,727

Down $11,770,890 (-56%) from 2017

Net Income

Up

-$678,822

Up $1,819,601 (+73%) from 2017

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: -$5,912,7472018Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0

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: -$2,383,4332018Revenue 2018: $8,531,905Expenses 2018: $9,210,727Net Income 2018: -$678,8222018

Highlighted filing

2018

Revenue$8,531,905
Expenses$9,210,727
Net Income-$678,822
Jump To
Filing Snapshot
Filing Period
Mar 1, 2018 to Sep 30, 2018
Signed
Jan 21, 2019
Return Version
2018v3.1
Gross Receipts
$8,531,905
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$3,708,286$0▼ $3,708,286
Cash and Non-Interest-Bearing Accounts$218,777$0▼ $218,777
Inventories for Sale or Use$12,343$0▼ $12,343
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$3,939,406$0▼ $3,939,406
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$9,852,153--
Total Liabilities$9,852,153$0▼ $9,852,153
Net Assets / Fund Balance
Unrestricted Net Assets$-5,912,747$0▲ $5,912,747
Total Net Assets Fund Balance$-5,912,747$0▲ $5,912,747
Total Liabilities and Net Assets / Fund Balance$3,939,406$0▼ $3,939,406
Compensation and Service Providers

Board Members and Trustees

NameTitle
Gary PerkinsChairperson
Paul a DongilliPresident and CEO (as of 0
Fr John SullivanVice Chairperson
Victor WitkowiczFormer Treasurer
Mark FahlesonMember
Mike MccrorySecretary
Kevin WertsTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Dialysis Clinic INCMedical Services3316 DODGE ST, Omaha, NE 68131$195,295
Rtg MedicalMedical Services1005 E 23RD ST STE 200, Fremont, NE 68025$156,272
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$8,531,905
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-678,822
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,288,889
Salaries, Compensation, and Employee Benefits$2,921,838
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$1,192,472$2,195,834-$3,388,306
Other Salaries and Wages$2,239,940--$2,239,940
Occupancy$1,765,925--$1,765,925
Office Expenses$825,441$1,472-$826,913
Other Employee Benefits$247,391$72,427-$319,818
Payroll Taxes$183,317$2,705-$186,022
Fees for Services Other$163,173--$163,173
Current Officers, Directors, Trustees, and Key Employees-$148,568-$148,568
Other Expenses$117,726$1,750-$119,476
Pension Plan Contributions$27,490--$27,490
Travel$24,614$360-$24,974
Insurance$122--$122
Total Functional Expenses$6,787,611$2,423,116$0$9,210,727
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
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$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
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

Food service operations are contracted with aramark; an outside management corporation. No current or former officers, directors, trustees, key employees, or highest compensated employees were compensated by aramark 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 executive compensation committee will make recommendations for the annual compensation of the chief executive officer (ceo), and chief financial officer (cfo). The madonna executive compensation plan requires national salary benchmarks be used for the ceo 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 as well as other relevant data. Ideally, 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 reporting the salaries for benchmark firms (from 990 data) reported by the vice president human resources. Other sources of information and data may be used as needed from third party salary surveys in addition to or in lieu of 990 data as deemed necessary from year to year. The annual compensation adjustment for the ceo and cfo is to represent both the market changes and the merit performance.

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
2019-01-21

Organization Details

Principal Officer
Victor Witkowicz
Formed
2014
Legal Domicile
Ne
Voting Board Members
6
Independent Board Members
5
Employees
158
Volunteers
57
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Transfer of net assets upon dissolution 6,591,569.

FORM 990, PART XII, LINE 2C:

The finance committee of the board of directors is responsible for the oversight of the audit and the selection of the independent accountant. The process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

Madonna is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code. Madonna 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 madonna to meet a community benefit standard and comply with various laws and regulations. Madonna accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in fasb asc topic 740, income taxes. Madonna recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At june 30, 2018 and 2017, madonna had no uncertain tax positions accrued.

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IRS990/Desc0MADONNA REHABILITATION SYSTEMS FULFILLS ITS MISSION BY DELIVERING EXPERT AND COMPREHENSIVE REHABILITATION, TREATING EACH PERSON AS A UNIQUE INDIVIDUAL. MADONNA'S REHABILITATION PROGRAMS INTEGRATE THE PHYSICAL, PSYCHOLOGICAL, SOCIAL, SPIRITUAL AND VOCATIONAL ASPECTS OF EACH PATIENT'S LIFE. THE HOSPITALS' PROGRAMS SUPPORT THE UNMET NEEDS OF OUR COMMUNITY AND REGION AND ARE DEVOTED TO RETURNING PEOPLE TO THEIR HOMES, COMMUNITIES, JOBS OR SCHOOLS. THE 48-BED MADONNA REHABILITATION SPECIALTY HOSPITAL (MRSH) IS LOCATED AT 175TH AND BURKE STREETS, IN OMAHA. MRSH PROVIDES INPATIENT SERVICES FOR REHABILITATIVE CARE FOR: VENTILATOR MANAGEMENT COMPLEX WOUND MANAGEMENT MEDICALLY COMPLEX PATIENTSWITH A POPULATION OF MORE THAN 800,000, OMAHA AREA RESIDENTS CONTINUE TO BE UNDERSERVED IN POST-ACUTE HEALTH SERVICES, BUT OFTENTIMES ARE REFERRED TO NURSING HOMES OR SENT HOME INSTEAD. OMAHA AREA TRAUMA HOSPITALS AND PHYSICIANS RELY ON MADONNA TO FILL THAT GAP AND TO CONTINUE THEIR LIFE-SAVING WORK. MADONNA CONTINUES TO BE A RESOURCE FOR HIGH-QUALITY POST-ACUTE CARE.MADONNA REHABILITATION HOSPITALS - OMAHA WAS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HOSPITALS IN 2016.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0MADONNA IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MADONNA 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 MADONNA TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. MADONNA ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. MADONNA RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2018 AND 2017, MADONNA HAD NO UNCERTAIN TAX POSITIONS ACCRUED.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleH/FinancialAssistancePolicyInd01
IRS990ScheduleH/FinancialAssistancePrvsnInd01
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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
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IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/FAPActionsOnNonpaymentInd01
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IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/ImplementationStrategyAdptYr016
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/IncludesPublicityMeasuresInd01
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/InsuranceStatusCriteriaInd0X
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IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NoEmergencyCareInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NondisEmergencyCarePolicyInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NotifiedFAPCopyBillDisplayInd0X
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OrganizationIncurExciseTaxInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OtherHealthIssuesInd0X
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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/TaxExemptHospitalCYOrPYInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/UnderinsuranceStatCriteriaInd0X
IRS990ScheduleH/MedicareSurplusOrShortfallAmt0-1916495
IRS990ScheduleH/ReimbursedByMedicareAmt05526057
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/ExplanationTxt1MADONNA PHYSICIANS AND THERAPISTS ALSO PRESENT AT NUMEROUS CONFERENCES THROUGHOUT THE YEAR, PROVIDING RECOGNIZED EXPERTISE TO THE COMMUNITY ON REHABILITATION AND OTHER RELEVANT TOPICS. FINANCIAL SUPPORT INCLUDE INDIVIDUAL EMPLOYEE AND ORGANIZATIONAL DONATIONS OF MONEY AND SUPPLIES TO PATIENTS AND THEIR FAMILIES, AREA FOOD BANKS, CHURCHES, MISSIONARIES, SOCIAL SERVICES ORGANIZATIONS, AND HEALTH ASSOCIATIONS. IN SOME CASES, MADONNA ORGANIZES FUNDRAISERS DESIGNED TO BENEFIT THESE ORGANIZATIONS.
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/ExplanationTxt5MADONNA USES MULTIPLE AVENUES TO COLLECT DATA REGARDING THE NEEDS OF ITS COMMUNITY, INCLUDING PATIENT SATISFACTION SURVEYS, MEETING MINUTES FROM LOCAL, STATE, REGIONAL AND NATIONAL ORGANIZATIONS, CAPITAL CAMPAIGN REQUESTS AND OTHER DATA SOURCES. THIS IS AN ONGOING PROCESS THAT IS INTEGRATED INTO STRATEGIC PLANNING AND ANNUAL GOAL SETTING. A NEEDS ASSESSMENT QUESTIONNAIRE WAS DISTRIBUTED TO THE COMMUNITY AND THE RESULTS WERE COLLECTED AND ANALYZED IN FISCAL YEAR 2016. THE RESULTS WERE DISCUSSED AT STRATEGIC PLANNING COMMITTEE MEETINGS DURING THE PLANNING PHASES FOR FISCAL YEARS 2017 THROUGH 2019. HOSPITAL LEADERSHIP REGULARLY REVIEWS AND DISCUSSES COMMUNITY NEEDS DURING WEEKLY ADMINISTRATIVE TEAM MEETINGS. MANY OF THESE NEEDS ARE ADDRESSED THROUGH CAPITAL ITEM REQUESTS AND PROGRAMMING UPDATES AND/OR ADDITIONS. ADDITIONALLY, COMMUNITY NEEDS ARE BROUGHT FORTH AND DISCUSSED IN NUMEROUS ORGANIZATIONAL AND INDIVIDUAL MEETINGS AT ALL LEVELS. MADONNA EXECUTIVES, MANAGERS AND CLINICIANS ARE ENCOURAGED TO MEET WITH THEIR COUNTERPARTS IN PEER INSTITUTIONS AND TO PURSUE LEADERSHIP POSITIONS IN THEIR AREAS OF EXPERTISE. EACH YEAR, MADONNA STAFF MEMBERS ARE ELECTED AND/OR ARE APPOINTED TO BOARDS, SPECIAL TASK FORCES AND OTHER LEADERSHIP POSITIONS. IN THESE POSITIONS, MADONNA STAFF GETS DIRECT INPUT FROM COLLEAGUES IN AFFILIATED ORGANIZATIONS AND WITH PATIENTS IN THE COMMUNITY SERVED.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt6THE INSURANCE STATUS OF ALL PATIENTS IS ASSESSED AT THE TIME OF ADMISSION. THE ADMISSIONS PROCESS INCLUDES REGULAR COMMUNICATION WITH PATIENTS AND THEIR FAMILIES, AND INSURANCE STATUS IS A SIGNIFICANT PART OF THIS PROCESS. PATIENTS WITHOUT INSURANCE ARE ASSISTED IN THEIR APPLICATIONS FOR MEDICAID IF IT APPEARS THEY MAY QUALIFY. PATIENTS WHOSE MEDICAID APPLICATIONS ARE PENDING ARE REGULARLY ADMITTED. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS WHO ARE DENIED FOR MEDICAID BUT ARE UNABLE TO PAY, IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt7MADONNA IS ONE OF THE NATION'S LARGEST SPECIALIZED REHABILITATION HOSPITALS. MADONNA TREATS CHILDREN AND ADULTS WITH COMPLEX DISABILITIES DUE TO TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, STROKE, NEUROLOGICAL DISORDERS, BURNS, PULMONARY DISEASE, AND OTHER DISABLING CONDITIONS. THIS IS MADONNA'S "COMMUNITY" - THE PEOPLE WHO REQUIRE INPATIENT POST-ACUTE PHYSICAL REHABILITATION TO REDUCE OR ELIMINATE IMPAIRMENTS, ACTIVITY LIMITATIONS, AND PARTICIPATION RESTRICTIONS. UNLIKE ACUTE CARE HOSPITALS, MADONNA DOES NOT DEFINE "COMMUNITY SERVED" AS A GEOGRAPHIC AREA, BUT RATHER BY THE PRIORITY POPULATION THAT REQUIRES THESE HIGHLY SPECIALIZED SERVICES. THIS POPULATION INCLUDES PEOPLE OF ALL AGES, GENDER, INCOME LEVEL, AND RACE FROM THROUGHOUT THE COUNTRY.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt8MADONNA PHYSICIANS AND THERAPISTS ALSO PRESENT AT NUMEROUS CONFERENCES THROUGHOUT THE YEAR, PROVIDING RECOGNIZED EXPERTISE TO THE COMMUNITY ON REHABILITATION AND OTHER RELEVANT TOPICS. FINANCIAL SUPPORT INCLUDE INDIVIDUAL EMPLOYEE AND ORGANIZATIONAL DONATIONS OF MONEY AND SUPPLIES TO PATIENTS AND THEIR FAMILIES, AREA FOOD BANKS, CHURCHES, MISSIONARIES, SOCIAL SERVICES ORGANIZATIONS, AND HEALTH ASSOCIATIONS. IN SOME CASES, MADONNA ORGANIZES FUNDRAISERS DESIGNED TO BENEFIT THESE ORGANIZATIONS.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt9MADONNA REHABILITATION SYSTEMS IS AFFILIATED WITH MADONNA REHABILITATION HOSPITAL IN LINCOLN.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt10NE
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 2:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc6PART VI, LINE 3:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc7PART VI, LINE 4:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc8PART VI, LINE 5:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc9PART VI, LINE 6:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc10PART 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/WrittenDebtCollectionPolicyInd01
IRS990ScheduleH/WrittenPolicyInd01
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt181000
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10

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