Civic Intelligence

Cimro of Nebraska C/O Cimro

990 • Fiscal year 2018 • EIN 48-1292876

Jan 01, 2018 to Dec 31, 2018 • Filed on Apr 02, 2019

2902 Crossing CT No CChampaign, IL 61822

(217) 352-1060

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$803,064

Flat from 2018

Net Assets

Flat

$801,652

Flat from 2018

Liabilities

Flat

$1,412

Flat from 2018

Revenue And Expenses

Revenue

Flat

$64,767

Flat from 2018

Expenses

Flat

$204,846

Flat from 2018

Net Income

Flat

-$140,079

Flat from 2018

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2011: $1,555,497Liabilities 2011: $956,073Net Assets 2011: $599,4242011Assets 2012: $1,742,438Liabilities 2012: $1,067,280Net Assets 2012: $675,1582012Assets 2013: $1,339,725Liabilities 2013: $555,395Net Assets 2013: $784,3302013Assets 2014: $1,329,634Liabilities 2014: $510,904Net Assets 2014: $818,7302014Assets 2015: $1,066,200Liabilities 2015: $192,103Net Assets 2015: $874,0972015Assets 2016: $1,279,662Liabilities 2016: $353,812Net Assets 2016: $925,8502016Assets 2017: $1,195,181Liabilities 2017: $228,102Net Assets 2017: $967,0792017Assets 2018: $803,064Liabilities 2018: $1,412Net Assets 2018: $801,6522018Assets 2018: $803,064Liabilities 2018: $1,412Net Assets 2018: $801,6522018Assets 2019: $206,742Liabilities 2019: $1,282Net Assets 2019: $205,4602019Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2018

Assets$803,064
Liabilities$1,412
Net Assets$801,652

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2011: $5,534,6682011Revenue 2012: $5,036,533Expenses 2012: $4,960,799Net Income 2012: $75,7342012Revenue 2013: $4,072,705Expenses 2013: $3,963,533Net Income 2013: $109,1722013Revenue 2014: $3,056,714Expenses 2014: $3,022,314Net Income 2014: $34,4002014Revenue 2015: $2,086,027Expenses 2015: $2,030,660Net Income 2015: $55,3672015Revenue 2016: $2,146,248Expenses 2016: $2,094,495Net Income 2016: $51,7532016Revenue 2017: $2,345,260Expenses 2017: $2,304,031Net Income 2017: $41,2292017Revenue 2018: $64,767Expenses 2018: $204,846Net Income 2018: -$140,0792018Revenue 2018: $64,767Expenses 2018: $204,846Net Income 2018: -$140,0792018Revenue 2019: $5,685Expenses 2019: $601,877Net Income 2019: -$596,1922019Expenses 2021: $103,5392021

Highlighted filing

2018

Revenue$64,767
Expenses$204,846
Net Income-$140,079
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Apr 2, 2019
Return Version
2018v3.1
Gross Receipts
$64,767
Mission and Program Overview

Mission

Our mission is to ensure the quality, effectiveness, efficiency and economy of healthcare services provided to nebraska medicare beneficiaries. Our vision is to make healthcare in nebraska the nation's best.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$500,000$500,000→ $0
Accounts Receivable$348,733--
Cash and Non-Interest-Bearing Accounts$203,102$242,630▲ $39,528
Land, Buildings, and Equipment, Net$12,295--
Prepaid Expenses and Deferred Charges$5,372--
Total Assets$1,195,181$803,064▼ $392,117
Other Assets Total$125,679$60,434▼ $65,245
Liabilities
Other Liabilities$136,301$0▼ $136,301
Deferred Revenue$946$946→ $0
Accounts Payable and Accrued Expenses$90,855$466▼ $90,389
Total Liabilities$228,102$1,412▼ $226,690
Net Assets / Fund Balance
Unrestricted Net Assets$967,079$801,652▼ $165,427
Total Net Assets Fund Balance$967,079$801,652▼ $165,427
Total Liabilities and Net Assets / Fund Balance$1,195,181$803,064▼ $392,117

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$3,965--
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Theodore FraserVice President$4,898$141,720$146,618
Audrey Paulman Md MmmPrincipal Clinical Coord$1,526$23,991$25,517
Kenneth J Printen MdMember/secretary-treasurer$100$8,400$8,500
Ronald Johnson Md FaafpBoard Chair$100$7,125$7,225
Mary Belford MdMember/vice Chair$100$1,225$1,325

Board Members and Trustees

NameTitle
Tina Georgy Rn MsChief Executive Officer
Julia Overstreet CPAChief Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$53,704
Investment Income
$11,063
Other Revenue
$0
Change in Net Assets
$-140,079
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$201,937
Salaries, Compensation, and Employee Benefits$2,909
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Payments to Affiliates---$182,228
Fees for Services Accounting---$5,067
Other Salaries and Wages---$2,352
Information Technology---$448
Occupancy---$371
Current Officers, Directors, Trustees, and Key Employees---$300
Other Expenses---$293
Other Employee Benefits---$257
Office Expenses---$172
Total Functional Expenses$0$0$0$204,846
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
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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

Cimro provides management services to cimro of nebraska (cimro-ne) under a contractual agreement which includes the services of ceo, cfo, all finance/human resource assistance, professional liability insurance, contract administration, and audit.

Form 990, Part VI, Section A, Line 4

The organization made significant changes to the organizational documents which include the elimination of individual members, the number of board members, use of various committees are deleted and clarification was added regarding who is included in the indemnification provisions.

Form 990, Part VI, Section A, Line 6

MEMBERS

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

The corporate member has voting rights. The corporate member, cimro, elects the governing body members for cimro-ne. Cimro provides all members of the cimro-ne board.

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

By-laws and articles of incorporation may only be approved, adopted, amended or repealed by cimro, the corporate member. Also election of the cimro-ne bod is subject to approval of the corporate member. The by-laws provide that the services of the ceo and cfo shall be provided to cimro-ne by the corporate member.

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

The cimro-ne board reviews a draft of form 990 prior to finalizing the document.

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

On an annual basis all staff and board members are required to complete the personal coi form.

Form 990, Part VI, Section B, Line 15

Compensation of ceo and cfo is paid by cimro and the wage determination is made by that entity. Bod: comparability data obtained from review of similar business entities forms 990 concerning the level of reimbursement must be reviewed periodically, to support any ongoing compensation and any future modification to the board compensation arrangement.

Form 990, Part VI, Section C, Line 18

The organization makes its forms 8718 and 990 available for public inspection upon request.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Cimro of Nebraska
EIN
48-1292876
Phone
2173521060
Address
2902 CROSSING CT NO C, CHAMPAIGN, IL 61822

Signing Officer

Name
Tina Georgy
Title
CEO
Phone
2173521060
Signed
2019-04-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tina Georgy
Formed
2002
Legal Domicile
Ne
Voting Board Members
3
Independent Board Members
3
Employees
15
Volunteers
0

Preparer

Firm
Martin Hood LLC
Address
2507 SOUTH NEIL STREET, CHAMPAIGN, IL 61820
Preparer
Dae-woung Kang Ea
Phone
2173512000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

Cimro of nebraska is beginning to wind down operations. All employees and operations transferred to a related corporation, great plains quality innovation network, effective january 1, 2018. The related company shares the same mission to improve the health care service delivery system.

FORM 990, PART XI, LINE 9:

Transfer to related organization (write off capital contribution) -25,348.

Form 990, Part XII, Line 2C Audit Committee Oversight

Parent corporation is responsible for selection of audit firm. A copy of the consolidated audit report is provided to the full board.

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHIEF EXECUTIVE OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CHIEF FINANCIAL OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0301531
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1205129
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SubstantiationRequiredInd01
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CIMRO OF NEBRASKA IS BEGINNING TO WIND DOWN OPERATIONS. ALL EMPLOYEES AND OPERATIONS TRANSFERRED TO A RELATED CORPORATION, GREAT PLAINS QUALITY INNOVATION NETWORK, EFFECTIVE JANUARY 1, 2018. THE RELATED COMPANY SHARES THE SAME MISSION TO IMPROVE THE HEALTH CARE SERVICE DELIVERY SYSTEM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1CIMRO PROVIDES MANAGEMENT SERVICES TO CIMRO OF NEBRASKA (CIMRO-NE) UNDER A CONTRACTUAL AGREEMENT WHICH INCLUDES THE SERVICES OF CEO, CFO, ALL FINANCE/HUMAN RESOURCE ASSISTANCE, PROFESSIONAL LIABILITY INSURANCE, CONTRACT ADMINISTRATION, AND AUDIT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MADE SIGNIFICANT CHANGES TO THE ORGANIZATIONAL DOCUMENTS WHICH INCLUDE THE ELIMINATION OF INDIVIDUAL MEMBERS, THE NUMBER OF BOARD MEMBERS, USE OF VARIOUS COMMITTEES ARE DELETED AND CLARIFICATION WAS ADDED REGARDING WHO IS INCLUDED IN THE INDEMNIFICATION PROVISIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE CORPORATE MEMBER HAS VOTING RIGHTS. THE CORPORATE MEMBER, CIMRO, ELECTS THE GOVERNING BODY MEMBERS FOR CIMRO-NE. CIMRO PROVIDES ALL MEMBERS OF THE CIMRO-NE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5BY-LAWS AND ARTICLES OF INCORPORATION MAY ONLY BE APPROVED, ADOPTED, AMENDED OR REPEALED BY CIMRO, THE CORPORATE MEMBER. ALSO ELECTION OF THE CIMRO-NE BOD IS SUBJECT TO APPROVAL OF THE CORPORATE MEMBER. THE BY-LAWS PROVIDE THAT THE SERVICES OF THE CEO AND CFO SHALL BE PROVIDED TO CIMRO-NE BY THE CORPORATE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE CIMRO-NE BOARD REVIEWS A DRAFT OF FORM 990 PRIOR TO FINALIZING THE DOCUMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7ON AN ANNUAL BASIS ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO COMPLETE THE PERSONAL COI FORM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8COMPENSATION OF CEO AND CFO IS PAID BY CIMRO AND THE WAGE DETERMINATION IS MADE BY THAT ENTITY. BOD: COMPARABILITY DATA OBTAINED FROM REVIEW OF SIMILAR BUSINESS ENTITIES FORMS 990 CONCERNING THE LEVEL OF REIMBURSEMENT MUST BE REVIEWED PERIODICALLY, TO SUPPORT ANY ONGOING COMPENSATION AND ANY FUTURE MODIFICATION TO THE BOARD COMPENSATION ARRANGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9THE ORGANIZATION MAKES ITS FORMS 8718 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11TRANSFER TO RELATED ORGANIZATION (WRITE OFF CAPITAL CONTRIBUTION) -25,348.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12PARENT CORPORATION IS RESPONSIBLE FOR SELECTION OF AUDIT FIRM. A COPY OF THE CONSOLIDATED AUDIT REPORT IS PROVIDED TO THE FULL BOARD.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12FORM 990, PART XII, LINE 2C AUDIT COMMITTEE OVERSIGHT
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0CIMRO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1GREAT PLAINS QUALITY INNOVATION NETWORK
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0MEDICAL QUALITY IMPROVEMENT
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1MEDICAL QUALITY IMPROVEMENT PRIMARILY FOR MEDICARE POPULATION
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IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd01
IRS990ScheduleR/PerformOfServicesForOthOrgInd01
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd01
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd01
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalEmployeeCnt015
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IRS990/TotalGrossUBIAmt00
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IRS990/TotalProgramServiceRevenueAmt053704
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IRS990/TotalRevenueGrp/ExclusionAmt011063
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt053704
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt064767
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0803064
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IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0967079
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IRS990/UponRequestInd0X
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IRS990/WebsiteAddressTxt0WWW.CIMRONEBRASKA.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0TINA GEORGY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum02173521060
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-04-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CIMRO OF NEBRASKA
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0C/O CIMRO
ReturnHeader/Filer/BusinessNameControlTxt0CIMR
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ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd061822

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