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Chi Nebraska FY2021 filing

Tax-deductible

Phoenix, AZ501(c)(3)Since 1982EIN 36-3233121

On file with the IRSchihealth.com3033 N 3rd Ave, 85013-4447 · Phoenix, AZTax-exempt since Oct 1983Supporting organization — 509(a)(3)

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501(c)(3) charity; gifts are tax-deductible.
Status: IRS Pub. 78

Before you give

FY2021 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
3 of 5
filings with a surplus
Average deficit $54K a year · last 5 filings
Worth a look: a surplus in 3 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
0%
of spending
Concern: 0% of spending went to programs; under 50%.
Pt IX · Ln 25 · col B
Named funders
1
named funder · $12K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$13.2B
100% of total assets
Concern: liabilities are 100% of assets; over 80%.
Pt X · Ln 26
Independent board members
10
of 14 voting members
Looks good: 10 of 14 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$0
Spent
$92K
To programs
0%
Net assets
−$43.2M
By yearFY2020–FY2024
Revenue
$0
FY2021
Tap a bar for its year
Revenue by fiscal year
FY2020$0
FY2021$0
FY2022$0
FY2023$0
FY2024$0
FY2024$0
Expenses
$92K
FY2021▼ -49%
Tap a bar for its year
Expenses by fiscal year
FY2020$180K
FY2021$92K
FY2022$0
FY2023$0
FY2024$0
FY2024$0
Net assets
−$43.2M
FY2021▲ +1.0%
Tap a bar for its year
Net assets by fiscal year
FY2020−$43.7M
FY2021−$43.2M
FY2022−$43.2M
FY2023−$43.2M
FY2024−$43.2M
FY2024−$43.2M

From the FY2021 Form 990 (year ending June 2021) · see the original

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You’re viewing the FY2021 filing — not the latest on file. See the latest (FY2024) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Oct 1983.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

What each dollar paid for.

Management & general 100% · $92K

Form 990 Part IX, line 25. Every line is in By the numbers.

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Who runs it and what they're paid

19 people listed on the 990.

Part VII, Section A · reportable compensation · most recent filed roster (FY2020); the FY2021 filing did not itemize Part VII
Anthony Jones
Board Member
$0Pt VII · Sec A
Cliff Robertson MD
Board Member/CEO Chi Health
$0Pt VII · Sec A
John Petersdorf
Board Member
$0Pt VII · Sec A
Jeanette Wojtalewicz
CFO, Chi Health
$0Pt VII · Sec A
Heather Morgan MD
Board Member
$0Pt VII · Sec A
Nick Otool
Interim CFO, Chi Health
$0Pt VII · Sec A
Jason Kruger MD
Board Member
$0Pt VII · Sec A
$0Pt VII · Sec A
See Chi Nebraska executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Improves healthcare access and fosters community wellness across Nebraska through a network of affiliated hospitals, physicians, and high-quality medical services.

Questions for Chi Nebraska

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Provided by the organization

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1 program · in their own filed words · FY2020
01

See schedule o

Pt IX · col B

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · funders on record
Grants received · FY2023
American Cancer Society INCFY2023$12K
Total grants receivedfrom 1 funder$12K

By the numbers

The FY2021 990, line by line.

Download 990
from philanthropy.org
1The main four
Money inPt VIII
$0
Ln 12
Money outPt IX
$92K
Ln 25
Managementcol C$92K
Owns and owesPt X
−$43.2M
net assets · Ln 32
Total assetsLn 16$13.1B
LiabilitiesLn 26$13.2B
PeoplePt VI, VII
19
listed · VII A
PaidVII A0
Voting boardVI 1a14
IndependentVI 1b10
2In more detail
Revenue in detailPt VIII
Total revenueLn 12$0
Assets in detailPt X, end of year
CashLn 1$0
SavingsLn 2$0
InvestmentsLn 11–13$0
Land, buildings, equipmentLn 10c$0
Other assetsLn 15$13.15B
Total assetsLn 16$13.1B
LiabilitiesLn 26$13.2B
Net assetsLn 32−$43.2M
OperationsPt I, VI
EmployeesI 50
VolunteersI 610
Fiscal year endsHeaderJune
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY21End FY21
Cash and savingsLn 1–2$0
InvestmentsLn 11–13$0
Land, buildings, equipmentLn 10c$0
Total assetsLn 16$10.58B$13.15B
LiabilitiesLn 26$10.62B$13.19B
Net assetsLn 32−$43.7M−$43.2M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Other fees for servicesLn 11g$92K$92K
Total functional expensesLn 25$92K$0$92K$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 $0$0$0−$43.2M 990 PDF
FY2023 $0$0$0−$43.2M 990 PDF
FY2022 $0$0$0−$43.2M 990 PDF
FY2021 Viewing $0$92K−$92K−$43.2M 990 PDF
FY2020 $0$180K−$180K−$43.7M 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2021 990 (6 parts)
Part I · Summary $0 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $0$0
I-9 Program service revenuePrior year $0$0
I-10 Investment incomePrior year $0$0
I-11 Other revenuePrior year $0$0
I-12 Total revenuePrior year $0$0
I-13 Grants and similar amounts paidPrior year $0$0
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $0$0
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $180,000$91,624
I-18 Total expensesPrior year $180,000$91,624
I-19 Revenue less expensesPrior year −$180,000−$91,624
Part VI · Governance 10 of 14 board members independent, 1 to look at
VI-1a Voting members of the governing body14
VI-1b Independent voting members10
VI-15a Process for setting top official's payNo
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
Part VIII · Statement of revenue $0 across 1 lines filed
VIII-12 Total revenueRelated to mission $0 · Unrelated business $0 · Excluded from tax $0$0
Part IX · Statement of functional expenses $91,624 across 1 line filed
IX-11g Other fees for servicesManagement $91,624$91,624
IX-25 Total functional expensesPrograms $0 · Management $91,624 · Fundraising $0$91,624
Part X · Balance sheet $13,147,524,252 assets, 24 lines filed
X-1 Cash, non-interest-bearing$0
X-2 Savings and temporary cash investments$0
X-3 Pledges and grants receivable$0
X-4 Accounts receivableStart of year $2,165,830$0
X-8 Inventories for sale or use$0
X-9 Prepaid expenses and deferred charges$0
X-10c Land, buildings and equipment, net$0
X-11 Publicly traded securities$0
X-12 Other securities$0
X-13 Program-related investments$0
X-14 Intangible assets$0
X-15 Other assetsStart of year $10,576,521,325$13,147,524,252
X-16 Total assetsStart of year $10,578,687,155$13,147,524,252
X-17 Accounts payable and accrued expensesStart of year $2,791,773$1,513,636
X-18 Grants payable$0
X-19 Deferred revenue$0
X-20 Tax-exempt bond liabilities$0
X-24 Unsecured notes and loans payable$0
X-25 Other liabilitiesStart of year $10,619,567,019$13,189,259,706
X-26 Total liabilitiesStart of year $10,622,358,792$13,190,773,342
X-27 Net assets without donor restrictionsStart of year −$43,671,637−$43,249,090
X-28 Net assets with donor restrictions$0
X-32 Total net assets or fund balancesStart of year −$43,671,637−$43,249,090
X-33 Total liabilities and net assetsStart of year $10,578,687,155$13,147,524,252
Part XI · Reconciliation of net assets −$43,249,090 net assets at year end
XI-1 Total revenue$0
XI-2 Total expenses$91,624
XI-3 Revenue less expenses−$91,624
XI-4 Net assets at start of year−$43,671,637
XI-9 Other changes in net assets$514,171
XI-10 Net assets at end of year−$43,249,090

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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