Nebraska Health Information Initiative Inc

Nonprofit profile at a glance

EIN
262673338
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
La Vista, NE, USA
Phone
4025069900
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Research Institutes and Public Policy Analysis

Official website

Reported finances

Revenue
$28,787,453
Expenses
$21,505,693
Assets
$36,159,804
Liabilities
$10,162,014

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

19 people listed

Executive titles in this filing

  • DR MICHAEL WHITE (PRESIDENT & DIRECTOR)
  • DR JAIME L BLAND (CEO & DIRECTOR)
  • JEFF FRANCIS (VICE PRESIDENT & DIRECTOR)

Highest reported compensation

  • DR JAIME L BLAND (CEO & DIRECTOR): $433,971 total reported compensation
  • LORRAINE EGGER (CFO): $318,190 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Nehii's mission is to organize and operate a system for the secure exchange and use of health care information throughout the state of Nebraska to improve the quality and access of healthcare to the community while reducing health care costs.

What it reported doing in 2024

Cynchealth operates Nebraska's statewide health information exchange and the Nebraska prescription drug monitoring program (pdmp) enabling secure and efficient exchange of health information across the care continuum. Core components include a clinical viewer that provides healthcare providers access to patients' longitudinal health records that assist in providing complete care of the patient and the pdmp data which helps combat prescription drug misuse and improve patient safety by giving prescribers and pharmacists real-time access to prescription data.cynchealth also provides event notification services, alerting providers to significant care transitions such as hospital admissions or discharges, supporting timely follow-up and continuity of care. To enhance the longitudinal health record, cynchealth worked with participants to enhance their data quality to meet the latest uscdi standards.beyond data exchange, cynchealth delivers analytics and reporting services that support population health management, quality improvement, and compliance initiatives. Additionally, cynchealth operates a social care platform connecting healthcare providers with community organizations for referrals to housing, food assistance, and transportation services. These programs collectively advance interoperability, improve healthcare delivery, and promote better health outcomes statewide.

Operating model

Revenue model
Grant-funded. 72% of the money available for current operations came from government grants.
Distribution model
Direct operator. The filing allocates 98% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 69
  • Transparency & Controls: 85
  • Accountability: 92
  • Sustainability: 73
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 68.6%; rating input score 69
  • Program expense ratio: 91.4%; rating input score 91
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 10th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 99.3%; rating input score 99; 33rd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 94.4%; rating input score 94; 28th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 25.3%; rating input score 86; 86th percentile among comparable filings
  • Total-asset coverage ratio: 1.68; rating input score 55; 55th percentile among comparable filings
  • Liabilities to assets ratio: 0.28; rating input score 48; 48th percentile among comparable filings
  • Officer compensation ratio: 0.2%; rating input score 91; 91st percentile among comparable filings

Growth

  • Program expense growth: 20% per year; rating input score 100; 90th percentile among comparable filings
  • Revenue growth: 20% per year; rating input score 100; 92nd percentile among comparable filings
  • Asset growth: 26.2% per year; rating input score 100; 94th percentile among comparable filings

Details

  • Where the money goes: 68.6% of revenue deployed · 91.4% of spending went to programs
  • Governance: 17 of 18 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $19.7M in reported program spending
  • Leadership: top reported pay $434K · 19 people listed · 3 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $16.6M reported
  • Consistency: 27 of 28 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: 9 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Review — Sustainability: Total-asset coverage ratio scored 55/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Liabilities to assets ratio scored 48/100.