Skip to content
Nonprofiteer
← NEBRASKA PEDIATRIC PRACTICE INC

Form 990 for tax year 2022

Filed by NEBRASKA PEDIATRIC PRACTICE INC.

Totals

Total revenue
$104,095,824
Total expenses
$165,346,292
Contributions and grants received
$2,848,956
Grants paid
$1,816,000
Program service revenue
$100,236,928
Investment income
$8,042
Other revenue
$1,001,898
Total assets, end of year
$20,903,889
Total liabilities, end of year
$20,903,889
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$157,080,513
Management and general expenses
$8,265,779
Fundraising expenses
$0
Program service expenses (Part III)
$157,080,513

Program services were 95.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • NICOLE BIRGE MD

    MEMBER / MEDICAL DIRECTOR

    Total calculated
    $581,113
    From this org
    $544,513
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $451,206
    Bonus
    $92,830
    Other
    $477
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $581,113

  • JAMES FORD MD

    MEMBER / PHYSICIAN

    Total calculated
    $261,485
    From this org
    $237,067
    From related orgs
    $0
    Other
    $24,418
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,356
    Bonus
    $25,407
    Other
    $304
    Deferred
    $24,418
    Nontaxable benefits
    $0
    Filer's total
    $261,485

  • JESSICA GOELLER MD

    VICE CHAIR/MEDICAL DIRECTOR

    Total calculated
    $549,388
    From this org
    $512,788
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $466,037
    Bonus
    $46,062
    Other
    $689
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $549,388

  • SIDHARTH MAHAPATRA MD

    MEMBER / PHYSICIAN

    Total calculated
    $405,426
    From this org
    $390,219
    From related orgs
    $0
    Other
    $15,207
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $355,987
    Bonus
    $34,000
    Other
    $232
    Deferred
    $15,207
    Nontaxable benefits
    $0
    Filer's total
    $405,426

  • KARI SIMONSEN MD

    MEMBER/SVP PEDIATRICIAN IN CHIEF

    Total calculated
    $627,911
    From this org
    $591,311
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $520,454
    Bonus
    $70,000
    Other
    $857
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $627,911

  • LISA SIECZKOWSKI MD

    CHAIRMAN/ PHYSICIAN

    Total calculated
    $308,604
    From this org
    $279,539
    From related orgs
    $0
    Other
    $29,065
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $256,723
    Bonus
    $22,500
    Other
    $316
    Deferred
    $29,065
    Nontaxable benefits
    $0
    Filer's total
    $308,604

  • BRADLEY BRITIGAN MD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CHANDA CHACON

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DAVID DIAMOND

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • AMY HATCHER

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DWIGHT JONES MD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CHRISTOPHER MALONEY MD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DAVID MERCER MD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ALAN TINGLEY MD

    PRESIDENT

    Total calculated
    $653,605
    From this org
    $617,005
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $534,842
    Bonus
    $78,517
    Other
    $3,646
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $653,605

  • CAMILLE HANCOCK FRIESEN MD

    PHYSICIAN

    Total calculated
    $1,506,516
    From this org
    $1,469,916
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,389,078
    Bonus
    $78,000
    Other
    $2,838
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $1,506,516

  • ANGELA HANNA MD

    MEDICAL DIRECTOR

    Total calculated
    $1,008,718
    From this org
    $972,118
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $917,745
    Bonus
    $53,383
    Other
    $990
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $1,008,718

  • ALI IBRAHIMIYE MD

    PHYSICIAN

    Total calculated
    $1,383,085
    From this org
    $1,346,485
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,275,132
    Bonus
    $70,693
    Other
    $660
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $1,383,085

  • PATRICK THOMAS MD

    MEMBER/MEDICAL DIRECTOR

    Total calculated
    $984,075
    From this org
    $947,475
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $896,957
    Bonus
    $49,000
    Other
    $1,518
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $984,075

  • ABDALLA ZARROUG MD

    SVP & SURGEON IN CHIEF

    Total calculated
    $1,107,454
    From this org
    $1,070,854
    From related orgs
    $0
    Other
    $36,600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $971,011
    Bonus
    $98,853
    Other
    $990
    Deferred
    $36,600
    Nontaxable benefits
    $0
    Filer's total
    $1,107,454

  • MICHAEL MCGLADE

    MEMBER THRU JAN 2022

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION FOR THE PRESIDENT IS PAID BY THE HOSPITAL MEMBER, CHILDREN'S HOSPITAL & MEDICAL CENTER, AN UNRELATED ORGANIZATION, FOR SERVICES PROVIDED TO NEBRASKA PEDIATRIC PRACTICE INC. SEE SCHEDULE O NARRATIVE PART VI, LINE 15A FOR ADDITIONAL INFORMATION ON THE PRESIDENT'S COMPENSATION ARRANGEMENT AND REVIEW PROCESS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202323189349316772

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.