2024-05-13T15:47:32+00:00 2023-06-30 135565207 KPMG LLP 191 W Nationwide Blvd Ste 500 Columbus OH 43215 990 2022-07-01 911858433 The Nebraska Medical Center NEBR 4025594000 988145 NEBRASKA MEDICAL CENTER Omaha NE 681988145 Stephanie Daubert CFO 2024-05-13 true STEPHANIE DAUBERT 999009999 Mollie P Longhouse P00294881 6142492300 2022 2023-04-26 12:10:37Z STEPHANIE DAUBERT 988145 NEBRASKA MEDICAL CENTER Omaha NE 681988145 2083654888 false X WWW.NEBRASKAMED.COM X 1997 NE The Nebraska Medical Center (TNMC)'s mission is to lead the world in transforming lives to create a healthy future for individuals and communities through premier educational programs, innovative research, and extraordinary patient care. 10 5 10661 261 1517359 126939 39011994 15081832 1664240448 1852044220 917254 37383982 151745663 179144854 1855915359 2083654888 323064090 377099361 0 0 649594163 705834423 471390 450000 637661 843438779 956629986 1816568422 2040013770 39346937 43641118 1993427448 2488651093 778650654 1230761432 1214776794 1257889661 X The Nebraska Medical Center (TNMC)'s mission is to lead the world in transforming lives to create a healthy future for individuals and communities through premier educational programs, innovative research, and extraordinary patient care. false false 314837751 76088133 373690868 Oncology Service Line Cancer treatment services offered by the corporation include treatment of lymphoma, leukemia, multiple myeloma, head and neck, breast, gastrointestinal, pancreatic, lung, genitourinary prostate, gynecologic, melanoma, brain, and spine cancers. The patients are supported by research that is conducted on the University of Nebraska Medical Center (UNMC) campus. The Nebraska Medical Center (TNMC) is the only clinical cancer center in its service area designated by the national cancer institute. In addition to treatment and clinical trials, TNMC offers support groups, social work, pain management, financial counselors, survivorship groups, genetic counseling, and a variety of additional patient supportive services. In June 2017, TNMC opened the Fred and Pamela Buffett Cancer Center. The center is jointly owned with UNMC, and it is one of the foremost cancer research and treatment facilities in the country. It is the site of inpatient hospital care, as well as outpatient and diagnostic care. UNMC's facilities, within the center, house research labs. TNMC operates cancer treatment locations in Bellevue, NE; West Omaha, NE; Rural Central Nebraska; and Atlantic, IA. In addition, as one of the busiest programs in the world, the bone marrow transplantation program served 234 patients in the year ended June 30, 2023. A 24/7 emergency and evaluation treatment center are dedicated to cancer and transplants. The program benefits from the research conducted on TNMC/UNMC campuses. TNMC was one of the first cancer centers in the nation to participate in clinical trials for CAR-T cell therapy. It was FDA-Approved in October 2017. The therapy treatment was extended to leukemia patients in 2018 and multiple myeloma patients in 2019. During fiscal year 2023, the oncology service line treated 138,228 cases. 288192684 77778910 381994763 Heart and Vascular Service Line The Nebraska Medical Center (TNMC) provides a wide range of cardiovascular services from diet counseling to surgical procedures and rehabilitation to patients from the surrounding region. TNMC has grown into one of the busiest centers in the country for ventricular assist device operations. TNMC has been successful in recruiting physicians and has the only heart failure specialist in the region, and the only heart failure program certified by the joint commission in the State of Nebraska. In 2016, TNMC began a lung transplant program, and in December 2017, TNMC performed the state's first heart and lung transplant. In the year ended June 30, 2023, TNMC performed 7 lung transplants. The congestive heart failure program and acute myocardial infarction program each received the gold seal of approval certification from the American Heart Association. This program is certified by the joint commission, and these services are the only nationally certified programs of their kind in the State of Nebraska. The chest pain center has received full chest pain center accreditation from the Society of Chest Pain Centers. TNMC has been recognized for service excellence under the J.D. Power and Associates Distinguished Hospital Program. TNMC has the only joint commission certified destination therapy program in the state and is the only hospital in the region performing adult heart transplants and implanting total artificial hearts. In the year ended June 30, 2023, 878 open heart surgeries were performed, including 34 heart transplants. 285506681 59673843 293075534 Neurological Sciences Service Line The core services include precise diagnosis and treatment of stroke and vascular disease, movement and memory disorders, multiple sclerosis brain and spinal tumors, spine as well as epilepsy. The epilepsy center is the only level four center in the region and treats patients from the State of Nebraska and surrounding region. The Nebraska Medical Center (TNMC) has one of the few magnetoencephalography (MEG) scanners and trained MEG scientists in the region. The MEG can detect brain activity in much greater detail and with more accuracy than previous methods and advances patient care and research opportunities. In July 2018, TNMC opened the Twin Creek Health Center, a dedicated neurological sciences ambulatory clinic in Bellevue, NE. TNMC has earned the American Heart Association/American Stroke Association's Get with the Guidelines Stroke Gold Plus Achievement Award. Get with the Guidelines is a hospital-based, quality-improvement program designed to ensure hospitals consistently care for cardiac and stroke patients following the most up-to-date guidelines and recommendations. TNMC also hosts the only young adult stroke support group to address the emotion and physical challenges of recovering from stroke. 946926499 119929090 764444511 All Other Hospital Services WITH A HISTORY DATING BACK TO 1869, TNMC WAS FORMED WITH THE MERGING OF BISHOP CLARKSON MEMORIAL HOSPITAL AND UNIVERSITY HOSPITAL. IN JULY 2016, UNMC PHYSICIANS OUTPATIENT CLINICS BECAME PART OF THE ORGANIZATION. TNMC CONTINUES TO ATTRACT PATIENTS FROM THE REGION AND AROUND THE WORLD. TNMC IS A TERTIARY/QUATERNARY ACADEMIC MEDICAL CENTER. IT IS THE LARGEST HEALTH CARE FACILITY IN THE STATE WITH MORE THAN 10,000 EMPLOYEES AND OVER 900 PHYSICIANS PRACTICING IN ALL MAJOR SPECIALTIES AND SUB-SPECIALTIES. IN ADDTION TO KEY SERVICES IN CARDIOLOGY, ONCOLOGY, TRANSPLANT AND NEUROLOGY, TNMC OFFERS COMPREHENSIVE CARE IN WOMEN'S SERVICES FOR OBSTETRICS AND GYNECOLOGY, AS WELL AS PEDIATRIC SERVICES, ORTHOPEDICS, RHEUMATOLOGY, AND PULMONARY CARE. IN ADDITION, TNMC HAS ONE OF THE REGION'S LARGEST HYPERBARIC MEDICINE PROGRAMS. TNMC IS THE MOST ESTEEMED ACADEMIC HEALTH SYSTEMS IN THE REGION, WITH 809 LICENSED BEDS AT ITS TWO HOSPITALS, NEBRASKA MEDICAL CENTER AND BELLEVUE MEDICAL CENTER. TNMC ALSO OPERATES 40 SPECIALTY AND PRIMARY CARE CLINICS IN OMAHA AND SURROUNDING AREAS. TNMC HAS ONE OF THE FEW BIOCONTAINMENT UNITS IN THE UNITED STATES EQUIPPED TO SAFELY CARE FOR PEOPLE EXPOSED TO HIGHLY CONTAGIOUS, DANGEROUS DISEASES. IN 2014, THE NEBRASKA BIOCONTAINMENT UNIT WAS ACTIVATED TO PROVIDE CARE FOR THREE AMERICANS WHO CONTRACTED THE EBOLA VIRUS DURING THE WEST AFRICA OUTBREAK. THIS RESPONSE RESULTED IN TNMC AND UNMC BECOMING ONE OF THREE DESIGNATED EBOLA TREATMENT AND EDUCATION CENTERS IN THE UNITED STATES. THROUGHOUT THE LAST DECADE, BIOCONTAINMENT UNIT STAFF HAVE CONTINUED TO EDUCATE PUBLIC HEALTH AND INFECTIOUS DISEASE TEAMS FROM AROUND THE WORLD ABOUT SAFE PROTOCOLS AND RESPONSES TO INFECTIOUS DISEASES, MOST RECENTLY COVID-19. TNMC WAS ONE OF THE FIRST TO CARE FOR EXPOSED AND INFECTED AMERICANS IN EARLY 2020 AND CONTINUES TO BE A WORLD LEADER IN TREATING AND MITIGATING THE VIRUS. THE ORGANIZATION CONTINUES TO STRIVE TOWARD ITS MISSION TO LEAD THE WORLD IN TRANSFORMING LIVES TO CREATE A HEALTHY FUTURE FOR ALL INDIVIDUALS AND COMMUNITIES THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH AND EXTRAORDINARY PATIENT CARE. THIS WAS DEMONSTRATED THROUGH A VARIETY OF ACTIVITIES THROUGHOUT FY21 AS WELL AS THE HEALTH SYSTEM MAINTAINING ITS ROLE AS A LOCAL, REGIONAL AND NATIONAL LEADER IN THE RESPONSE TO THE COVID-19 PANDEMIC. THE FOLLOWING EFFORTS CONTINUED AS A RESULT OF THE COVID-19 PANDEMIC: * INPATIENT AND OUTPATIENT CLINICAL CARE FOR PATIENTS AFFECTED BY COVID-19 * CONDUCTED OUTREACH AND PROVIDED MONOCLONAL ANTIBODY INFUSIONS TO PATIENTS INFECTED WITH COVID-19 AT HIGHEST RISK OF SERIOUS DISEASE OR COMPLICATIONS * UTILIIZATION OF E-VISITS AND VIDEO VISITS THROUGH AN ONLINE PATIENT PORTAL AND PATIENT-FACING MOBILE APP. ALLOWED FOR INCREASED ACCESS AND INCLUDES PRIMARY, SPECIALTY AND IMMEDIATE CARE APPOINTMENTS * CREATION OF TRAINING MATERIALS THROUGH THE GLOBAL CENTER FOR HEALTH SECURITY * PROVIDED TRAINING AND EDUCATION FOR HEALTH CARE WORKERS THROUGH NATIONAL EMERGING SPECIAL PATHOGENS TRAINING AND EDUCATION (NETEC) * CONDUCTED AND PARTICIPATED IN CLINICAL TRIALS * SERVED AS A COMMUNITY AND NATIONAL EXPERT THROUGH NEWS AND SOCIAL MEDIA, AND COMMUNITY OUTREACH ADDITIONAL HIGHLIGHTS FROM THE YEAR INCLUDED * GROUNDBREAKING AND BEAM SIGNING OF THE FUTURE CANCER FACILITY IN KEARNEY, NEBRASKA * OPENING OF THE HUB PHARMACY IN OMAHA TO IMPROVE EFFICIENCY OF DISTRIBUTION OF PRESCRIPTIONS TO TNMC'S RETAIL PHARMACY LOCATIONS * EXPANSION OF THE OFFICE OF INCLUSION AND DIVERSITY, HIRING NEW DEPARTMENT STAFF AND EXPANDING THE NUMBER AND SCOPE OF EMPLOYEE RESOURCE GROUPS * RIBBON CUTTING OF THE COMMUNITY WELLNESS COLLABORATIVE, IN PARTNERSHIP WITH UNMC, THAT SERVES THE NORTH OMAHA COMMUNITY WITH HEALTH EDUCATION AND RESOURCES * OPENING OF A FOURTH CLINICAL BUILDING AT VILLAGE POINTE HEALTH CENTER IN WEST OMAHA, INCREASING SERVICES AND ACCESS FOR PATIENTS * CONSTRUCTION AND ONGOING DESIGN FOR INNOVATION DESIGN UNIT, A PATIENT CARE UNIT THAT WILL BE USED TO PILOT INNOVATIVE CARE DELIVERY AND TECHNOLOGY IN FY23, NEBRASKA MEDICAL CENTER EARNED THE FOLLOWING: * US NEWS & WORLD REPORT BEST HOSPITAL IN THE STATE * US NEWS & WORLD REPORT RANKED THE EAR, NOSE AND THROAT PROGRAM IN THE TOP 50 NATIONALLY * US NEWS & WORLD REPORT RATED CANCER, GASTROENTROLOGY, GI SURGERY, ORTHOPAEDICS AND PULMONARY AND LUNG SURGERY AS HIGH PERFORMING SPECIALTIES * Nebraska Medical Center WAS NAMED TO THE FORBES BEST-IN-STATE EMPLOYERS LIST * BECKER'S HOSPITAL REVIEW LISTED NEBRASKA Medical Center AS ONE OF THE TOP 150 PLACES TO WORK IN HEALTH CARE * BELLEVUE MEDICAL CENTER WAS AWARDED A 5-STAR RATING AND A QUALITY LEADERSHIP TOP PERFORMER BY VIZIENT * HEALTHGRADES RECOGNIZED BELLEVUE MEDICAL CENTER WITH ITS 2023 PATIENT SAFETY EXCELLENCE AND OUTSTANDING PATIENT EXPERIENCE AWARDS 194646237 43629385 214276553 Digestive Disease and Kidney Service Line The Nebraska Medical Center (TNMC) operates one of the busiest solid organ transplant programs in the world. In 2016, TNMC joined a small number of transplant centers which have programs for transplants of all solid organs. TNMC's lung transplant program did its first transplant in February 2016. In the year ended June 30, 2023, TNMC performed 328 solid organ transplants including liver, kidney, heart, lung, pancreas, and small bowel. The success of TNMC's solid organ transplant program is heightened by research done on the TNMC/University of Nebraska Medical Center (UNMC) campuses. Since its inception, patients have come to TNMC for single or multiple organ transplants from all fifty states and five continents. 1141572736 163558475 978721064 2030109852 true true false true false false true false true true false false true true true false true false false false false false true false false true true true true true true false false false false false false false false true true false false false false true true true true false false true 430 0 true 10661 true true true false false false false false false false false false true false X 10 5 true false false false true true true true true false false true true true true true true true true true false X KAREN KERSTETTER 4025523278 988145 NEBRASKA MEDICAL CENTER Omaha NE 681988145 Bruce Grewcock DIRECTOR (TREASURER) 1.0 2.0 X X 0 0 0 Jeffrey P Gold MD DIRECTOR (CHAIRMAN) 1.0 2.0 X X 0 0 0 Mogens Bay DIRECTOR (VICE CHAIRMAN) 1.0 2.0 X X 0 0 0 Nancy Keegan DIRECTOR (SECRETARY) 1.0 2.0 X X 0 0 0 Dr David W Mercer DIRECTOR 30.0 30.0 X 0 486158 37005 Dr Debra Romberger DIRECTOR 30.0 30.0 X 0 474975 34860 Eric K Keen DIRECTOR 1.0 2.0 X 0 0 0 James T Canedy DIRECTOR 1.0 3.0 X 0 0 0 Jane Miller DIRECTOR 1.0 2.0 X 0 0 0 Jim Pillen DIRECTOR (END 12/2022) 1.0 2.0 X 0 0 0 Lance M Fritz DIRECTOR 1.0 2.0 X 0 0 0 James Linder CEO 44.0 11.0 X 2548407 0 16097 Stephanie Daubert CFO 45.0 10.0 X 886748 0 31021 Anna Cramer CHIEF LEGAL OFFICER 45.0 10.0 X 662348 0 22647 Brian J Lancaster INFORMATION TECH VP (END 07/2022) 30.0 30.0 X 334509 0 4752 Bryce Brackle VP Finance 45.0 0 X 414088 0 16657 Cory D Shaw CHIEF OPERATIONS OFFICER (END 11/2022) 45.0 10.0 X 924725 0 12129 Dr Harris A Frankel CHIEF MEDICAL OFFICER 45.0 10.0 X 980966 0 25948 Dr Suzanne Nuss CHIEF NURSING OFFICER 44.0 11.0 X 535837 0 36620 Frank Venuto CHIEF HUMAN CAPITAL OFFICER 45.0 10.0 X 643280 0 32424 Jennifer Bartholomew FACILITIES MANAGEMENT VP 55.0 0 X 336405 0 34665 Julie Lazure ACUTE CARE/PATH SVCS VP 55.0 0 X 468482 0 36647 Kyle Skiermont PharmD VP 55.0 0 X 495676 0 23940 Matthew Pospisil PERIOP SVS/BELLEVUE VP 54.0 1.0 X 467063 0 38086 Michael A Ash CHIEF OPERATIONS OFFICER 45.0 10.0 X 842276 0 45635 Scott Raymond Information Technology VP (BEG 8/2022) 30.0 30.0 X 211658 0 2585 Theresa Franco CANCER CTR/RAD/IMAG SVCS VP 55.0 0 X 419155 0 36344 Thomas C Macy AMB CLINICS/CLINICAL PROG VP 55.0 0 X 468337 0 36652 Frank S Lococo CORP MARK & COMM VP 55.0 0 X 366944 0 27438 Isaac J Berg Staff-Physician-Primary 55.0 0 X 399074 0 34459 Jay C Anderson STAFF PHYSICIAN-PRIMARY 55.0 0 X 373210 0 25097 Jennifer L Brown STAFF PHYSICIAN-PRIMARY 55.0 0 X 412694 0 36695 Michael A Donner STAFF PHYSICIAN-PRIMARY 55.0 0 X 391524 0 36618 13583406 961133 685021 1478 false true false Prolink Healthcare LLC 4600 Montgomery Rd Suite 300 Cincinnati OH 45212 Healthcare Staffing Agency 53033045 Focusone Solutions LLC 13609 California Street Suite 420 Omaha NE 68154 Healthcare Staffing Agency 24699961 OneNeck IT Solutions LLC 3850 S 149th Street SUITE 115 Omaha NE 68144 IT Services 7125485 Guidepoint Security LLC 2201 Cooperative Way Herndon VA 20171 IT Services 1783677 HSRE Core Holding I LLC 444 West Lake Street Chicago IL 60606 Real Estate Development 1423000 82 7729088 7352744 15081832 Oncology & BMT 900099 373690868 373690868 Neurosciences 900099 293075534 293075534 Cardiovascular 446110 381994763 381994763 Digestive Disease & Kidney 900099 214276553 214276553 Other Surgery 900099 246024182 246024182 342982320 342982320 0 0 1852044220 33793284 33793284 2170066 19420 2170066 19420 2189486 2189486 3536702 53996 3536702 53996 3590698 3590698 Pharmacy Services 900099 131371551 130669468 702083 One Chart Practice 900099 13867274 13867274 Lab Administration 900099 11235686 11235686 20480857 19665581 815276 0 176955368 2083654888 2027482229 1517359 39573468 315532199 315532199 61567162 61567162 10411525 1145268 9266257 570123905 569982189 141716 23501616 23491153 10463 66523739 66504258 19481 35273638 35264855 8783 749532 749532 989070 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true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 36757 false true 132603 169360 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY These amounts consists of hospital lobbying dues paid through annual dues of the national and state hospital associations, as well as staff time and expenditures on direct and indirect lobbying. 0 758585 X false 30094013 2670868 1201037 0 3247828 0 30718090 22120155 11674595 778258 0 4478995 0 30094013 22339668 1375831 1791393 0 3386737 0 22120155 19797408 3334961 1163014 0 1955715 0 22339668 17850984 1863357 1457066 0 1373999 0 19797408 0.0 0.0882 0.9118 false false 14201136 14201136 931531431 513913623 417617808 26721322 18129585 8591737 651174489 468695188 182479301 17323991 9094330 8229661 631119643 Cash Surrender Value - SERP 2800766 Software as service implement 5057364 ROU asset operating 226644277 Other long term assets 5108409 239610816 Third party payor settlement 10422632 Other claims payable 17008949 Other long-term liabilities 1145803 Right of use operating leases 183882201 212459585 X Schedule D, Part III, Line 4 Collections of art - description of collections THE HOSPITAL DISPLAYS ITS COLLECTION OF ART THROUGHOUT THE WALLS OF THE ORGANIZATION. IT IS A COLLECTION OF IMAGES and PORTRAITS TAKEN OF VARIOUS CULTURES AROUND THE WORLD and PORTRAYS THE HOSPITAL'S CULTURE OF PROVIDING MEDICAL CARE TO PEOPLE OF ALL CULTURES. Schedule D, Part V, Line 4 Intended uses of endowment funds THE MAJORITY OF THE ENDOWMENT FUNDS HELD BY THE HOSPITAL ARE HELD IN ORDER TO EARN INTEREST TO PROVIDE SCHOLARSHIPS OR EDUCATION FOR EMPLOYEES OF THE HOSPITAL OR FOR PATIENT NEEDS/EXPERIENCE. THE TERM ENDOWMENT FUNDS INCLUDE CHARITABLE GIFT ANNUITIES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote TNMC HAS ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109 (FIN 48). FIN 48 PROVIDES SPECIFIC GUIDANCE ON HOW TO ADDRESS UNCERTAINTY IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES, PRESCRIBING RECOGNITION THRESHOLDS AND MEASUREMENT ATTRIBUTES. THERE WERE NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2023 OR 2022. X X X X X X X true All Amounts Under 5000 Grant Writing false University of Nebraska Foundation 1010 Lincoln Mall Ste 300 Lincoln NE 68508 Fundraising false 1235734 450000 785734 1235734 450000 785734 CA CO CT DE DC FL GA AL HI ID IL IN IA KS KY LA ME AK MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA AZ RI SC SD TN TX UT VT VA AR WA WV WI WY true true X true X true X true true false true true 16246065 0 16246065 0.0080 204560844 141242478 63318366 0.0310 30336 35343 0 0.0 0 0 220837245 141277821 79564431 0.0390 1786389 70582 1715807 0.0008 54419155 26967815 27451340 0.0135 12244447 3686737 8557710 0.0042 4601843 1253381 3348462 0.0016 249667341 0 249667341 0.1224 0 0 322719175 31978515 290740660 0.1425 0 0 543556420 173256336 370305091 0.1815 0 0.0 50000 50000 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 106301 106301 0.0001 0 0.0 0 0 156301 0 156301 0.0001 true 34645886 243721748 293892349 -50170601 X true true 2 1 The Nebraska Medical Center 987400 Nebraska Medical Center Omaha NE 68198 www.nebraskamed.com 260011 X X X X A 2 Bellevue Medical Center 2500 Bellevue Medical Center Drive Bellevue NE 68123 www.bellevue.nebraskamed.com H000115 X X X A A false false true X X X X X X X X X 21 true true true true X https://www.nebraskamed.com/about-us/community-health-improvement X https://www.douglascountyhealth.com/images/CHNS/CHA/2021_PRC_CHNA_Report_-_Omaha_Metro_Area.pdf X true 22 true WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT false true X 200.0 400.0 X X X X true true X X X X true X https://www.nebraskamed.com/patients/billing/financial-counseling X https://www.nebraskamed.com/patients/billing/financial-counseling X https://www.nebraskamed.com/patients/billing/financial-counseling X X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Group A. (CHNA) FOR NEBRASKA MEDICINE (WHICH INCLUDES THE NEBRASKA MEDICAL CENTER (TNMC) AND BELLEVUE MEDICAL CENTER (BMC)) FOR THE COMPREHENSIVE CHNA PROCESS, A STEERING COMMITTEE COMPRISED OF KEY STAKEHOLDERS FROM AREA HEALTH SYSTEMS, LOCAL COUNTY HEALTH DEPARTMENT REPRESENTATIVES, AND KEY INFORMANTS FROM SEVERAL COMMUNITY AGENCIES WORKED COLLABORATIVELY TO OVERSEE THE PROCESS. THE CHNA STEERING COMMITTEE RETAINED PROFESSIONAL RESEARCH CONSULTANTS (PRC), INC. TO CONDUCT THE SURVEY. PRC IS A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING CHNAS SUCH AS THIS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994. INPUT FROM COMMUNITY STAKEHOLDERS KEY INFORMANT FEEDBACK INCLUDED REPRESENTATION FROM ALL OF THE ASSESSED COUNTIES. THE PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. ONE HUNDRED FIFTY COMMUNITY STAKEHOLDERS, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, PUBLIC HEALTH REPRESENTATIVES AND BUSINESS AND COMMUNITY LEADERS PROVIDED FEEDBACK. A FULL LIST OF REPRESENTED ORGANIZATIONS CAN BE FOUND IN THE FULL COMMUNITY NEEDS ASSESSMENT HERE: WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT STEERING COMMITTEE PARTICIPANT NAMES BELOW IS A LISTING OF THE PARTICIPANTS AND THE SPONSORING ORGANIZATIONS REPRESENTING THE CHNA STEERING COMMITTEE. CHARLES DREW HEALTH CENTER: KENNY MCMORRIS - CHIEF EXECUTIVE OFFICER CHI HEALTH: KELLY NIELSEN - DIRECTOR, HEALTHIER COMMUNITIES AND COMMUNITY BENEFIT ASHLEY CARROLL - COORDINATOR, HEALTHIER COMMUNITIES AND COMMUNITY BENEFIT DOUGLAS COUNTY HEALTH DEPARTMENT: DR. ADI POUR - HEALTH DIRECTOR KERRY KERNEN - DIVISION CHIEF, COMMUNITY HEALTH, NUTRITION & CLINICAL SERVICES METHODIST HEALTH SYSTEM: JEFF PROCHASKA - DIRECTOR, STRATEGIC PLANNING MIKE KRAUS - COORDINATOR, COMMUNITY BENEFIT NEBRASKA MEDICINE (TNMC AND BMC): BECKY JACKSON - DIRECTOR, PATIENT & COMMUNITY ENGAGEMENT OMAHA COMMUNITY FOUNDATION: EMILY NGUYEN - DIRECTOR, RESEARCH AND STRATEGY ONEWORLD COMMUNITY HEALTH CENTERS: ANDREA SKOLKIN - CHIEF EXECUTIVE OFFICER POTTAWATTAMIE COUNTY HEALTH DEPARTMENT: MATT WYANT - DIRECTOR, PLANNING AND DEVELOPMENT SARPY/CASS COUNTY HEALTH DEPARTMENT: SARAH SCHRAM - HEALTH DIRECTOR THE WELLBEING PARTNERS: SARAH SJOLIE - EXECUTIVE DIRECTOR Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Group A. THE CHNA WAS CONDUCTED WITH OTHER HOSPITAL FACILITIES AS LISTED BELOW: * CHI HEALTH * METHODIST HEALTH SYSTEM Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Group A. THE CHNA WAS CONDUCTED WITH OTHER COMMUNITY BASED FACILITIES AS LISTED BELOW: * CHARLES DREW HEALTH CENTER * DOUGLAS, POTTAWATTAMIE AND SARPY/CASS COUNTY HEALTH DEPARTMENTS * OMAHA COMMUNITY FOUNDATION * ONE WORLD COMMUNITY HEALTH CENTERS * THE WELLBEING PARTNERS Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Group A. NEBRASKA MEDICINE HAS CURRENT PROGRAMS AND SERVICES IN PLACE TO ADDRESS EACH OF THE FOURTEEN PRIORITIZED 2021 CHNA-IDENTIFIED COMMUNITY NEEDS. HOWEVER, IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENTLY, NEBRASKA MEDICINE WILL PLACE A PRIMARY FOCUS ON DIABETES, MENTAL HEALTH, PRENATAL HEALTH AND INFANT PLANNING, AND NUTRITION, PHYSICAL ACTIVITY AND WEIGHT. HOWEVER, IT HAS NO PLANS TO DISCONTINUE OTHER COMMUNITY BENEFIT EFFORTS ADDRESSING THE REMAINING CHNA-IDENTIFIED NEEDS, AND MAY TOUCH UPON EACH OF THESE CATEGORIES WITHIN ITS EFFORTS TO ADDRESS ISSUES SURROUNDING ACCESS TO CARE IN UNDERSERVED POPULATIONS. FURTHER, IN ORDER TO ENSURE ALL IDENTIFIED NEEDS WILL BE ADDRESSED IN THE COMMUNITY, NEBRASKA MEDICINE WILL CONNECT WITH THE OTHER LOCAL HEALTH SYSTEMS, COUNTY HEALTH DEPARTMENTS AND COMMUNITY PARTNERS TO DISCUSS THE CHNA-IDENTIFIED COMMUNITY NEEDS AND LOOK FOR OPPORTUNITIES TO COLLABORATE. THE IDENTIFIED NEEDS NOT BEING PRIORITIZED BY NEBRASKA MEDICINE IN 2022-2025 ARE IDENTIFIED AS SUBSTANCE ABUSE, SEXUAL HEALTH, INJURY & VIOLENCE, HEART DISEASE & STROKE, TOBACCO USE, POTENTIALLY DISABLING CONDITIONS, ORAL HEALTH, ACCESS TO HEALTHCARE SERVICES, RESPIRATORY DISEASES AND CANCER. EACH OF THESE REMAINING CHNA-IDENTIFIED NEEDS ARE BEING ADDRESSED BY ONE OF THE OTHER COMMUNITY HEALTH SYSTEMS, LOCAL MEDICAL SCHOOLS, COUNTY HEALTH DEPARTMENTS, OR COMMUNITY-BASED ORGANIZATIONS. A FULL LISTING OF THESE ARE PROVIDED IN TNMC'S CHNA REPORT AND CAN BE FOUND HERE: WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT IMPLEMENTATION PLAN STATUS UPDATE NEBRASKA MEDICINE'S FISCAL 2022-2025 CHNA AND IMPLEMENTATION PLANNING CYCLE IDENTIFIED FOURTEEN SIGNIFICANT HEALTH NEEDS, FOUR OF WHICH WERE PRIORITIZED FOR THE PLANNING PERIOD:(1) DIABETES, (2) MENTAL HEALTH (3) NUTRITION, PHYSICAL ACTIVITY, WEIGHT AND (4) PRENATAL HEALTH AND INFANT MORTALITY. BELOW ARE SOME HIGHLIGHTS OF PROGRESS MADE DURING FISCAL 2023: *FUNDED OVER $68,000 TO COMMUNITY NONPROFIT PARTNERS TOWARDS INITIATIVES AND PROGRAMS RELATED TO PRIORITY AREAS *FINANCIAL COUNSELORS ASSISTED OVER 1,500 PATIENTS WITH ENROLLMENT IN PUBLIC ASSISTANCE PROGRAMS *PROVIDED OVER $30,000 IN PHARMACY BENEFITS TO OPEN DOOR MISSION AND WALGREENS PATIENTS *CONTINUED PARTNERSHIP WITH MEDICARE ON THE PRIMARY CARE FIRST PROGRAM FOCUSING ON POPULATION HEALTH MANAGEMENT THROUGH PRIMARY CARE CLINIC SITES *CREATED 12 COMMUNITY-FACING EDUCATIONAL WEBINARS SHARING PROVIDER-BASED MEDICAL INFORMATION WITHIN PRIORITY HEALTH AREAS *SPONSORED COMMUNITY CONFERENCE ADDRESSING MATERNAL HEALTH NEEDS SPECIFICALLY WITHIN BIPOC COMMUNITY AS PART OF BLACK MATERNAL HEALTH MONTH *SPONSORED COMMUNITY BABY SHOWERS FOR INDIVIDUALS IN UNDER RESOURCED AREAS *HOSTED CAMPUS-WIDE DIAPER DRIVE SUPPORTING LOCAL NONPROFIT ORGANIZATIONS *SUPPORTED COMMUNITY BREASTFEEDING CLASSES TO PROMOTE HEALTHY BREASTFEEDING CHOICES *INITIATED SCREENING OF NICU PARENTS FOR POSTPARTUM DEPRESSION *BEGAN OFFERING TMS (TRANSCRANIAL MAGNETIC STIMULATION) FOR TREATMENT-RESISTANT DEPRESSION *INITIATED SCREENING FOR SUICIDE FOR ALL PATIENTS WITHIN PRIMARY CARE WITHIN BEHAVIORAL HEALTH VISITS *STARTED INDIVIDUAL INTENSIVE OUTPATIENT TREATMENT PROGRAM FOR OCD *STARTED A DEVELOPMENTAL DISABILITIES SPECIALTY CLINIC *PROVIDE PSYCHIATRIC SERVICES TO COMMUNITY ORGANIZATIONS SERVING UNDERSERVED COMMUNITIES, INCLUDING CHARLES DREW HEALTH CENTER, DOUGLAS COUNTY YOUTH CENTER, SANTEE HEALTH CENTER (SANTEE SIOUX RESERVATION), PRIMARY CARE PRACTICES IN RURAL NE, OLSEN WOMEN'S CENTER, AND SPECIALTY CARE HIV AND TRANSGENDER CLINICS. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Group A. PATIENTS WITH ANNUAL FAMILY INCOMES OF LESS THAN FOUR TIMES THE FEDERAL POVERTY LEVEL AND WITHIN ASSET LIMITS WILL QUALIFY FOR FINANCIAL ASSISTANCE. FREE CARE IS AVAILABLE TO PATIENTS WITH LIMITED ASSETS AND FAMILY INCOME EQUAL TO OR LESS THAN TWO TIMES THE FEDERAL POVERTY LEVEL. DISCOUNTED CARE IS AVAILABLE TO THOSE WITH INCOMES BETWEEN 200% AND 400% OF THE FEDERAL POVERTY LEVEL. CATASTROPHIC CARE PROVISIONS ARE AVAILABLE AND MAY APPLY TO INDIVIDUALS WITH EXTRAORDINARILY HIGH MEDICAL EXPENSES. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Group A. POLICY FN16: DISCOUNT/FINANCIAL ADJUSTMENTS TALKS ABOUT DISCOUNTS FOR PATIENTS WITH NON THIRD-PARTY PAYMENT SOURCE, DISCOUNTS, SIMILAR TO DISCOUNTS OFFERED TO MANAGED CARE PLANS, ARE OFFERED FOR MOST PATIENTS THAT DO NOT HAVE THIRD PARTY INSURANCE AND DO NOT MEET THE GUIDELINES FOR GOVERNMENTAL ASSISTANCE PROGRAMS. THIS DISCOUNT IS SUBJECT TO CHANGE BASED ON THE RATES AGREED UPON THROUGH MANAGED CARE CONTRACTS. THESE DISCOUNTS ARE INDEPENDENT OF THE CHARITY ADJUSTMENTS, AND THAT CHARITY ADJUSTMENTS ARE APPLIED AFTER THE SELF-PAY ADJUSTMENT IS APPLIED TO THE BILLED CHARGES. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - Group A. INFORMATION ON HOW TO GET FINANCIAL ASSISTANCE IS POSTED ON THE WEBSITE UNDER PATIENT FRIENDLY BILLING WHICH IS LOCATED UNDER THE PATIENT & VISITORS SECTION. THERE ARE DEPARTMENTS LISTED WITH PHONE NUMBERS TO CALL FOR MORE INFORMATION OR TO SET UP AN APPOINTMENT. 4 NE Medicine - Internal Medicine 729 North Custer Avenue Grand Island NE 68805 Internal Medicine Clinic Girls Inc of Omaha 2811 North 45th Street Omaha NE 68104 Family Medicine Clinic Nebraska Medicine University Health Center 550 North 19th Street Lincoln NE 68588 Medical Clinic Nebraska Medicine UNO Health Center 6001 Dodge Street Omaha NE 68182 Medical Clinic Schedule H, Part III Line 2 & 4 TNMC'S FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE SPECIFICALLY COVERING BAD DEBT EXPENSE. THOUGH PATIENT INCOME MAY QUALIFY THEM FOR FINANCIAL ASSISTANCE, THE PATIENT HAS OBLIGATIONS AS WELL TO COMPLETE FINANCIAL ASSISTANCE FORMS AND TO SUBMIT SUPPORTING DOCUMENTATION TO QUALIFY. PATIENTS WHO PROVIDE THIS INFORMATION AND QUALIFY FOR ASSISTANCE WOULD NEVER GO TO BAD DEBT. THEREFORE, IT IS REASONABLE TO STATE THAT OUR BAD DEBT EXPENSE IS FOR THOSE UNWILLING TO PAY OR UNWILLING TO WORK WITH US TO PROVIDE FINANCIAL ASSISTANCE, IF AVAILABLE. IF AN ACCOUNT IS COMPLETELY WRITTEN OFF TO BAD DEBT, THE TOTAL COST VIA THE COST ACCOUNTING SYSTEM IS APPLIED. IF ONLY A PORTION OF THE ACCOUNT WAS WRITTEN OFF TO BAD DEBT, THEN BAD DEBT AS A PERCENTAGE OF CHARGE IS THEN APPLIED TO THE TOTAL COST FOR THE ENCOUNTER TO ESTIMATE THE COST ASSOCIATED WITH THE BAD DEBT. THE AMOUNT THAT GOES TO COLLECTIONS IS PATIENT LIABILITY. NOT COLLECTING THESE DOLLARS IS A DIRECT EXPENSE TO THE ORGANIZATION. AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, IT IS OUR RESPONSIBILITY TO HELP ANYONE WHO PRESENTS THEMSELVES WITH A HEALTH ISSUE; AS SUCH, WE HAVE LESS CONTROL OVER WHAT GETS RECOGNIZED AS BAD DEBT. TO COMPUTE BAD DEBT AT COST, MANAGEMENT USED ALL DISCHARGED CASES IN PRIOR FISCAL YEAR WITH BAD DEBT WRITE-OFF. THE WRITE-OFF WAS COMPUTED AS A PERCENTAGE OF CHARGE AND THEN MULTIPLIED BY THE TOTAL COST (DETERMINED BY A DETAILED COST ACCOUNTING METHODOLOGY) TO ESTIMATE THE COST OF BAD DEBT. Schedule H, Part I, Line 6a Community Benefit Report THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED AT: WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-BENEFIT-REPORT Schedule H, Part I, Line 7 Community Benefit THESE NUMBERS ARE COMPUTED IN A COST ACCOUNTING SYSTEM THAT PRODUCES A COST FOR EVERY SERVICE THE HOSPITAL PROVIDES. RELATIVE VALUE UNITS, FOR SEVEN CATEGORIES OF EXPENSE, ARE UPDATED ANNUALLY FOR EACH PATIENT SERVICE WHICH KEEPS THE COST ACCOUNTING CURRENT. THESE COSTS PER UNIT VALUES ARE APPLIED TO THE PATIENT UTILIZATION TO COMPUTE THE TOTAL COST. THE COST ACCOUNTED TOTAL IS TIED BACK TO THE HOSPITAL'S FINANCIAL STATEMENTS TO ENSURE SYSTEM INTEGRITY. Schedule H, Part I, Line 7f Column F THE DENOMINATOR USED TO CALCULATE THE PERCENTAGE IN COLUMN(F) IS FORM 990, PART IX, LINE 25(A). Schedule H, Part V, Section B, Line 20d Presumptive Eligibility Determinations THE NEBRASKA MEDICAL CENTER (TNMC) IS UTILIZING THE SCORING MECHANISM IN ITS EPIC SOFTWARE. THE ORGANIZATION IS IN THE PROCESS OF INTEGRATING PRESUMPTIVE ELIGIBILITY FROM EXTERNAL VENDORS. CURRENTLY, TNMC IS CONSIDERING IF AN INDIVIDUAL HAS MEDICAID OR DECEASED WITH NO ESTATE TO BE DISCRETIONARY CHARITY AND QUALIFY THAT INDIVIDUAL. Schedule H, Part V Section D WE DO NOT HAVE REHABILITATION, FREE STANDING DIAGNOSTIC FACILITIES, OR SKILLED NURSING. OUR OFF SITE DIAGNOSTIC SERVICES ARE INCLUDED ON OUR HOSPITAL LICENSE AND OUR HOSPITAL ANCILLARY SERVICES ARE HOSPITAL BASED AND INCLUDED ON OUR LICENSE. Schedule H, Part II Community Building Activities COMMUNITY BUILDING ACTIVITIES ARE DESIGNED TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS. POVERTY, HOMELESSNESS, AND ENVIRONMENTAL PROBLEMS ALL CONTRIBUTE TO POOR HEALTH. THE TYPES OF PROGRAMS INCLUDED IN THIS CATEGORY SUPPORT WORKFORCE DEVELOPMENT AND TRAINING PROGRAMS TO PROVIDE EMPLOYMENT AND LEADERSHIP SKILLS, TRAINING, JOB SHADOWING FOR STUDENTS INTERESTED IN HEALTH CAREERS, AND ECONOMIC DEVELOPMENT SUPPORT GRANTS TO HELP REVITALIZE LOW-INCOME AREAS AND BUSINESSES. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs OVERALL MEDICARE PATIENTS PRODUCE A NEGATIVE 16.51% MARGIN ON GROSS CHARGES. THIS IS SPREAD ACROSS MOST OF OUR PRODUCT LINES. OUR HEAVIEST LOSSES ARE FROM THE INPATIENT NEUROLOGY, ONCOLOGY AND CARDIAC PRODUCT LINES AND FROM ONCOLOGY AND SURGERY ON THE OUTPATIENT SIDE. IN GENERAL MEDICARE INPATIENTS DO COVER THE DIRECT COSTS OF PROVIDING THEIR CARE. HOWEVER, THE INDIRECT COSTS TO SUPPORT THE HOSPITAL MUST BE ACCOUNTED FOR AND TURNS THE MARGIN NEGATIVE. THESE NUMBERS ARE COMPUTED IN A COST ACCOUNTING SYSTEM THAT PRODUCES A COST FOR EVERY SERVICE THE HOSPITAL PROVIDES. THE SYSTEM IS UPDATED ANNUALLY AND TIED TO OUR FINANCIAL STATEMENTS TO ENSURE INTEGRITY OF THE PRODUCT LINE PROFITABILITY STATEMENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance A PATIENT KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE (ONCE ALL PAPERWORK IS RECEIVED AND APPROVED) ARE FLAGGED IN THE SYSTEM AND MONITORED ACCORDINGLY TO ENSURE FINANCIAL ASSISTANCE IS POSTED TO THE PATIENT ACCOUNT. WHEN THE 12 MONTH APPROVAL EXPIRES, PATIENTS ARE CONTACTED IF SERVICES HAVE BEEN RENDERED WITHIN THE LAST SIX MONTHS TO DISCUSS SUBMITTAL OF NEW INFORMATION FOR CONTINUATION OF ASSISTANCE. IF PATIENTS NO LONGER QUALIFY, OTHER PAYMENT OPTIONS ARE DISCUSSED PER ORGANIZATIONAL POLICY. REPORTS ARE UTILIZED FOR FOLLOW UP PURPOSES. PATIENTS WHO QUALIFY FOR 100% ASSISTANCE DO NOT RECEIVE GUARANTOR STATEMENTS (BILLS) FROM THE ORGANIZATION. PATIENTS WHO QUALIFY FOR AN 80% OR 60% DISCOUNT WORK WITH CUSTOMER SERVICE OR COLLECTION STAFF TO OUTLINE PAYMENT ARRANGEMENTS ACCORDING TO SET POLICY. Schedule H, Part V, Section B, Line 16a FAP website A - The Nebraska Medical Center: Line 16a URL: https://www.nebraskamed.com/patients/billing/financial-counseling; Schedule H, Part V, Section B, Line 16b FAP Application website A - The Nebraska Medical Center: Line 16b URL: https://www.nebraskamed.com/patients/billing/financial-counseling; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - The Nebraska Medical Center: Line 16c URL: https://www.nebraskamed.com/patients/billing/financial-counseling; Schedule H, Part VI, Line 2 Needs assessment NEBRASKA MEDICINE USES DISEASE INCIDENCE AND PREVALENCE DATA, LEADING CAUSES OF DEATH, COMMUNITY HEALTH STATUS RESEARCH AND SUPPLY AND DEMAND ANALYSIS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. ADDITIONALLY, NEBRASKA MEDICINE ENGAGED PROFESSIONAL RESEARCH CONSULTANTS (PRC) TO PERFORM A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH THE LOCAL HEALTH SYSTEMS AND COUNTY HEALTH DEPARTMENTS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE The Nebraska Medical Center (TNMC) AND Bellevue Medical Center (BMC) EMPLOY FINANCIAL COUNSELORS, CUSTOMER SERVICE STAFF AND COLLECTION STAFF, ALL OF WHOM ARE TRAINED IN ASSISTING OUR PATIENTS WITH RESOLUTION OF PATIENT LIABILITY. DEPENDING UPON INDIVIDUAL PATIENT NEEDS, PAYMENT ARRANGEMENTS OR FINANCIAL ASSISTANCE MAY BE OFFERED TO ASSIST OUR CUSTOMERS WITH RESOLUTION OF PATIENT BALANCES. ADDITIONALLY, THE ORGANIZATION WORKS WITH OUR SELF-PAY POPULATION TO PURSUE COVERAGE THROUGH STATE, FEDERAL, OR LOCAL PROGRAMS. CHARITY CARE POLICY: THIS POLICY OUTLINES THE GUIDELINES PATIENT FINANCIAL SERVICES (PFS) WILL USE TO ENSURE ADEQUATE AND APPROPRIATE FOLLOW UP IS COMPLETED IN ORDER FOR QUALIFYING PATIENTS TO RECEIVE CHARITY CARE. PFS WILL WORK WITH PATIENTS TO FIND PAYMENT SOLUTIONS WHEN AVAILABLE. THIS POLICY IS WRITTEN TO ENSURE A FAIR AND COMPREHENSIVE SYSTEM OF DISTRIBUTING CHARITY CARE TO FINANCIALLY BURDENED PATIENTS WITHIN THE AVAILABLE RESOURCES OF TNMC IN A MANNER THAT DOES NOT DISCRIMINATE BASED ON RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, RELIGION, OR AGE. POLICY: A. CHARITY CARE IS AVAILABLE WHEN ALL OTHER RECOVERY SOURCES HAVE BEEN EXHAUSTED. B. CHARITY CARE IS PROVIDED TO PATIENTS WHO HAVE DEMONSTRATED INABILITY TO MEET THEIR FINANCIAL OBLIGATION TO TNMC. C. CHARITY CARE WILL NOT BE APPROVED FOR ELECTIVE AND/OR COSMETIC CARE. D. CHARITY CARE MAY BE APPROVED IN THE INSTANCE OF CATASTROPHIC CARE AS DEFINED. 1. THIS COULD BE OCCASIONED BY A PERSONAL CATASTROPHE OR UNAVOIDABLE CRISIS AFFECTING AN INDIVIDUAL WHO WOULD OTHERWISE BE ABLE TO PAY FOR SERVICE, OR A PERSON WHO HAS INCOME ABOVE POVERTY LEVEL BUT IS STILL NOT ABLE TO PAY THE ENTIRE COST OF SERVICE. 2. A PATIENT GENERALLY MAY QUALIFY FOR CATASTROPHIC CHARITY CARE IN INSTANCES WHERE THE PATIENT LIABILITY IS IN EXCESS OF 25% OF ANNUAL HOUSEHOLD INCOME. E. ALL TRANSPLANT AND IRP PATIENTS MUST MEET WITH A TRANSPLANT FINANCIAL COUNSELOR TO SECURE FINANCIAL CLEARANCE. TRANSPLANT AND IRP PATIENTS MUST PASS FINANCIAL SCREENING (ACCESS-FIC-082) OR MUST BE APPROVED VIA THE TRANSPLANT VARIANCE POLICY (FN 21) CHARITY APPROVAL FOR OTHER SERVICES PRIOR TO CONSIDERATION FOR TRANSPLANT DOES NOT MEET THIS REQUIREMENT. F. PRIOR APPROVAL FOR CHARITY CARE DOES NOT APPLY FOR FUTURE ELECTIVE OR COSMETIC PROCEDURES. GUIDELINES: A. IDENTIFICATION PROCESS 1) THE HOSPITAL MAINTAINS A SEPARATE POLICY IN ORDER TO ASSURE COMPLIANCE WITH THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA) AND A SEPARATE PATIENT RIGHTS AND ORGANIZATIONAL ETHICS POLICY. THIS CHARITY CARE POLICY IS SUBJECT TO THE TERMS OF THOSE POLICIES. 2) FINANCIAL COUNSELORS AUTHORIZED BY TNMC WILL IDENTIFY PATIENTS REQUIRING FINANCIAL SCREENING. B. VERIFICATION OF INSURANCE ELIGIBILITY AND BENEFITS 1) THE PATIENT WILL EXECUTE AN ASSIGNMENT OF INSURANCE BENEFITS ON BEHALF OF THE HOSPITAL. 2) VERIFICATION OF ELIGIBILITY, BENEFITS, AND PAYER SOURCE WILL BE PERFORMED IN A TIMELY MANNER ACCORDING TO PATIENT FINANCE AND ACCESS SERVICES DEPARTMENTAL PROCEDURES. C. FINANCIAL COUNSELING 1) FINANCIAL COUNSELORS AND CONTRACTED VENDORS WILL ASSIST PATIENTS REQUIRING FINANCIAL ASSISTANCE. 2) FINANCIAL COUNSELORS AND VENDORS WILL ASSIST PATIENTS IN SEEKING REIMBURSEMENT FROM LOCAL, STATE, AND FEDERAL PROGRAMS WHEN THERE IS NO OTHER SOURCE OF PAYMENT AS WELL AS ASSISTING PATIENTS WITH APPLICATIONS OR MAKING APPOINTMENTS TO QUALIFY FOR GOVERNMENT PROGRAMS. 3) PATIENTS ARE RESPONSIBLE FOR FOLLOW UP MEETINGS WITH AN AGENCY THAT MAY PROVIDE FINANCIAL RESOURCES FOR HEALTH CARE SERVICES. CHARITY ASSISTANCE MAY BE TERMINATED AT ANY TIME DUE TO NONCOMPLIANCE WITH THIS EXPECTATION. Schedule H, Part VI, Line 4 Community information WE SERVE MANY COMMUNITIES, INTERNATIONAL, REGIONAL, STATE, AND LOCAL OMAHA. THE STATISTICS BELOW DESCRIBE OUR LOCAL OMAHA COMMUNITY DEFINED AS DOUGLAS AND SARPY COUNTIES IN NEBRASKA. THIS LOCAL AREA REPRESENTS APPROXIMATELY 70% OF OUR INPATIENT AND OUTPATIENT DISCHARGES AND VISITS. THE 2023 ESTIMATED CENSUS POPULATION (DERIVED FROM THE US CENSUS BUREAU) FOR THIS LOCAL AREA IS 810,002. THE ESTIMATED RACE BREAKDOWN OF THE POPULATION IS BELOW. *WHITE ALONE 79.37% *BLACK ALONE 5.67% *AMERICAN INDIAN AND ALASKA NATIVE ALONE 1.07% *ASIAN ALONE 2.63% *PACIFIC ISLANDER ALONE 0.10% *TWO OR MORE RACES 2.87% HISPANIC OR LATINO 9.83% THERE ARE SIXTEEN ACUTE CARE AND CHILDREN'S HOSPITALS IN DOUGLAS AND SARPY COUNTY TO SERVE THE LOCAL COMMUNITY. BELLEVUE MEDICAL CENTER, BOYS TOWN NATIONAL RESEARCH HOSPITAL, CHI HEALTH CREIGHTON UNIVERSITY MEDICAL, CENTER - BERGAN MERCY, CHI HEALTH IMMANUEL, CHI HEALTH LAKESIDE, CHI HEALTH MIDLANDS, CHILDREN'S HOSPITAL & MEDICAL CENTER, DOUGLAS COUNTY HEALTH CENTER, MADONNA REHABILITATION HOSPITALS-OMAHA CAMPUS, METHODIST HOSPITAL, METHODIST WOMEN'S HOSPITAL, MIDWEST SURGICAL HOSPITAL, NEBRASKA SPINE HOSPITAL, ORTHONEBRASKA, SELECT SPECIALTY HOSPITAL - OMAHA, and THE NEBRASKA MEDICAL CENTER. THERE ARE FIVE DESIGNATED MEDICALLY UNDERSERVED AREAS IN DOUGLAS COUNTY (THREE AREAS) AND SARPY COUNTY (TWO AREAS). Schedule H, Part VI, Line 5 Promotion of community health The Nebraska Medical Center (TNMC) recognizes the community benefit of addressing root causes of poor health in order to improve community health. With all the hospital's governing board, majority independent, located within its service area, TNMC's dedication to the community stems from our leaders, employees, and their own families living and thriving in the community that supports us. The hospital participated in several community building activities throughout the past year designed to address these root causes. The hospital spends time coordinating resources to ensure smaller, rural hospitals can have access to the expertise and services of a large academic medical center. TNMC's community building activities also include programs intended to drive entry into health careers and nursing practice. Many hospital staff members give educational presentations on the health professions and resume and interview help to students. TNMC also provides job shadowing opportunities to undergraduate students who wish to explore health careers. TNMC extends medical staff privileges to most qualified physicians in the community, as it provides an open medical staff. Additionally, TNMC has the only bio-containment unit in the state and one of few across the nation, contributing to disaster preparedness above and beyond licensure requirements. Members of the hospital's critical care and trauma staff share expertise by participating in community coalitions to improve safety and reduce accidents among children, teens, and seniors. The hospital works to encourage economic growth and development by supporting economic partnerships aimed at the development of new business in the city's urban areas. The hospital's surplus funds are used to further its exempt purpose of leading the world by transforming lives to create a health future for all through education, research, and health care. Bellevue Medical Center (BMC) has participated in, and hosted a number of events, designed to promote a healthier community. In addition to financial support of several community-based charitable organizations, the hospital's leadership team is active on community boards. BMC follows all the same policies as TNMC listed above. Nebraska Medicine's, comprised of TNMC and BMC, comprehensive CHNA process includes a steering committee consisting of key stakeholders from area health systems, local county health department representatives, and key informants from several community agencies worked collaboratively to oversee the process. The CHNA steering committee retained professional research consultants (PRC), Inc. to conduct the survey. PRC is a nationally recognized health care consulting firm with extensive experience conducting CHNAs such as this in hundreds of communities across the United States since 1994. Schedule H, Part VI, Line 7 State filing of community benefit report NE true A Time to Heal 8707 West Center Road Ste 101 Omaha NE 68124 270297726 501(C)(3) 23370 General Support American Cancer Society 8030 Farnam Drive Omaha NE 68114 131788491 501(C)(3) 202500 General Support American Heart Association 9900 Nicholas Street Ste 200 Omaha NE 68114 135613797 501(C)(3) 23880 General Support Children's Mercy Hospital 2401 Gillham Road Kansas City MO 64108 440605373 501(C)(3) 16633 General Support City of Omaha 1819 Farnam Street Omaha NE 68183 476006304 GOVT 12000 General Support Clarkson College 101 South 42nd Street Omaha NE 68131 363649217 501(C)(3) 6018325 General Support Clarkson Regional Health Services Inc 450 Regency Parkway Ste 310 Omaha NE 68114 470376531 501(C)(3) 8000000 General Support Community Alliance Foundation 4001 Leavenworth Street Omaha NE 68105 470756969 501(C)(3) 5280 General Support Completely Kids 2566 St Marys Avenue Omaha NE 68105 275111197 501(C)(3) 7020 General Support Crohn's & Colitis Foundation 733 Third Ave Ste 510 New York NY 10017 136193105 501(C)(3) 8400 General Support Father Flanagan's Boys' Home 14100 Crawford Street Boys Town NE 68010 470376606 501(C)(3) 10000 General Support Greater Omaha Chamber Foundation 808 Conagra Drive Ste 400 Omaha NE 68102 470633685 501(C)(3) 64500 General Support Harbor House 7415 Cedar Street Omaha NE 68124 364003095 501(C)(3) 25000 General Support Harvard Medical School 25 Shattuck Street Boston MA 02115 042103580 GOVT 86728 General Support Heartland Family Services 2101 South 42nd Street Omaha NE 68105 470390618 501(C)(3) 7080 General Support HELP Adult Services 1941 South 42nd Street Ste 200 Omaha NE 68105 363412688 501(C)(3) 7210 General Support Hope Medical Outreach Coalition 4920 South 30th Street 3rd Floor Omaha NE 68107 911850344 501(C)(3) 60000 General Support Immigrant Legal Center 4223 Center Street Omaha NE 68105 743195841 501(C)(3) 125000 General Support Iowa Poison Control Center 401 Douglas Street Sioux City IA 51101 421509042 501(C)(3) 7252 General Support Juvenile Diabetes Research Foundation 9202 West Dodge Road Ste 304 Omaha NE 68114 231907729 501(C)(3) 9069 General Support Make-A-Wish Foundation Nebraska 11836 Arbor Street Omaha NE 68144 470671096 501(C)(3) 6900 General Support March of Dimes 11840 Nicholas Street Omaha NE 68154 131846366 501(C)(3) 35000 General Support National Strategic Research Institute 3835 Holdrege Street Lincoln NE 68583 455426026 GOVT 86099 General Support Nebraska AIDS Project 250 South 77th St Ste A Omaha NE 68114 470786622 501(C)(3) 7940 General Support Nebraska Hospital Association 3255 Salt Creek Circle Ste 100 Lincoln NE 68504 470384546 501(C)(3) 6000 General Support Nebraska Medicine Guild 988145 Nebraska Medical Center Omaha NE 68198 470591991 501(C)(3) 22385 General Support No More Empty Pots 8511 North 30th Street Omaha NE 68112 272427728 501(C)(3) 30000 General Support Omaha Performing Arts Society 1200 Douglas Street Omaha NE 68102 470832480 501(C)(3) 12500 General Support Ronald McDonald House Charity 620 South 38th Avenue Omaha NE 68105 470755104 501(C)(3) 15500 General Support The Leukemia & Lymphoma Society 11840 Nicholas Street Ste 215 Omaha NE 68154 135644916 501(C)(3) 20000 General Support United Way of the Midlands 2201 Farnam Street Ste 200 Omaha NE 68102 470376605 501(C)(3) 20650 General Support University of Iowa 105 Jessup Hall Iowa City IA 52242 426004813 GOVT 57608 General Support University of Nebraska Board of Regents 3835 Holdrege Street Lincoln NE 68583 470049123 GOVT 109251521 General Support UNMC Physicians 986800 Nebraska Medical Center Omaha NE 68198 470785575 501(C)(3) 191240849 General Support 34 0 Financial Assistance (Charity Care) 25928 49377449 Book Charity Care Financial Assistance (Renal-Indigent Patients) 25 1148581 Book Indigent Dialysis Financial Assistance (Pharmaceuticals) 7820 10867287 Book Pharmaceuticals Financial Assistance (Utilization Mgmt Patients) 400 173845 Book Utilization Management Schedule I, Part I, Line 1 Review and approval of charitable contributions THE NEBRASKA MEDICAL CENTER (TNMC) HAS A COMMITTEE WHOSE RESPONSIBILITY IS TO REVIEW AND APPROVE OR DISPROVE REQUESTS FOR SPONSORSHIP. THIS COMMITTEE IS COMPRISED OF THE CHIEF MEDICAL OFFICER AND MEMBERS OF THE COMMUNITY ENGAGEMENT TEAM. DECISIONS ARE MADE ON EACH REQUEST INDIVIDUALLY BASED ON A SET OF GUIDELINES ESTABLISHED BY THE ORGANIZATION. IN ORDER TO EFFECTIVELY EVALUATE AND REVIEW THE MANY REQUESTS WE RECEIVE, EACH REQUEST IS BROUGHT BEFORE THE COMMITTEE, AND EACH REQUEST is considered INDIVIDUALLY. CONTRIBUTIONS ARE MADE BASED ON THREE PRIMARY OBJECTIVES: 1) TO SUPPORT THE COMMUNITY NEED FOR RESOURCES ADDRESSING NEBRASKA'S LEADING CAUSES OF DEATH; INCLUDING ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH, AND INJURY & VIOLENCE PREVENTION. 2) TO ALIGN WITH ORGANIZATIONS FURTHERING TNMC'S CHARITABLE MISSION TO SUPPORT CAUSES WHICH SIGNIFICANTLY IMPACT THE OVERALL HEALTH STATUS OF THE COMMUNITY. 3) TO SUPPORT ORGANIZATIONS WHICH IMPACT FAVORABLY THE PUBLIC IMAGE OF THE HOSPITAL AND ENHANCE EXISTING PARTNERSHIPS OR INITIATIVES. IF A SPONSORSHIP OR CHARITABLE CONTRIBUTION REQUEST FALLS WITHIN OUR THREE PRIMARY OBJECTIVES, THE FOLLOWING CRITERIA ARE THEN APPLIED TO FURTHER ASSIST THE COMMITTEE IN MAKING FUNDING DECISIONS: 1) ORGANIZATION MUST PROVIDE PROOF OF 501(C)(3) STATUS FROM THE IRS, OR NONPROFIT DESIGNATION AS A GOVERNMENTAL OR TRIBAL ENTITY. 2) ALL REQUESTS MUST BE RECEIVED IN WRITING - NO PHONE REQUESTS WILL BE CONSIDERED. 3) REQUESTOR MUST BE ABLE TO PROVIDE, IF REQUESTED, THE ORGANIZATION'S NON-DISCRIMINATION POLICY. 4) MUST BE ABLE TO PROVIDE AN ORGANIZATIONAL OPERATING BUDGET AND PROJECT BUDGET UPON REQUEST. 5) PROPOSAL MUST INCLUDE A LIST OF BOARD MEMBERS, DIRECTORS, AND KEY PROJECT STAFF MEMBERS AND THE ROLE THEY SERVE IN THE ORGANIZATION. 6) REQUEST MUST INCLUDE A BRIEF NARRATIVE OF THE PROJECT, INCLUDING AN ESTIMATE OF PEOPLE SERVED BY THE REQUEST AND LOCATION OF COMMUNITIES IMPACTED BY THE ORGANIZATION'S MISSION. 7) REQUESTS FOR SPONSORSHIP NEED TO BE SUBMITTED AT LEAST 90 DAYS PRIOR TO THE EVENT. GROUPS, PROGRAMS, AND ACTIVITIES NOT SUPPORTED BY TNMC: 1)ORGANIZATIONS WITHOUT IRS 501(C)(3) OR EQUIVALENT TAX EXEMPT STATUS. 2) ORGANIZATIONS THAT DISCRIMINATE ON THE BASIS OF AGE, DISABILITY, RELIGION, ETHNIC ORIGIN, GENDER, OR SEXUAL ORIENTATION. 3) ORGANIZATIONS WITH DIVISIVE OR LITIGIOUS PUBLIC AGENDAS. 4) MEMBER BASED ORGANIZATIONS, INCLUDING ROTARY CLUBS OR IRS 501(C)(4) LEGIONS AND ASSOCIATIONS. 5) MUNICIPALITIES, INCLUDING FIRE AND POLICE DEPARTMENTS OR RELATED SOCIAL SERVICE GROUPS AND POLITICAL ORGANIZATIONS. 6) RELIGIOUS ORGANIZATIONS OR SECTARIAN PROGRAMS FOR RELIGIOUS PURPOSES. 7) FRATERNAL ORGANIZATIONS, SOCIAL CLUBS, SPORTS TEAMS OR CLUBS, ATHLETIC COMPETITIONS. 8) ENDOWMENTS. 9) MULTIYEAR REQUESTS AND PLEDGES. 10) INDIVIDUALS REQUESTING LOANS, DEBT RETIREMENTS, SCHOLARSHIP OR FELLOWSHIP ASSISTANCE. 11) TRAVEL- INCLUDING STUDENT TRIPS OR TOURS. 12) MARKETING ACTIVITIES OR PROMOTIONAL MERCHANDISE. 13) PURCHASE OR MAINTENANCE OF VEHICLES. 14) FILM OR VIDEO PROJECTS, INCLUDING DOCUMENTARIES. 15) BEAUTY PAGEANTS. Schedule I, Part III Amounts provided to patients are determined by the Nebraska Medical Center's written and published financial assistance policy. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Based on the detailed gift policy in Part I, Line 1, the funds are only provided for charitable purposes, and those organizations that receive monies from The Nebraska Medical Center are required to follow their 501(C)(3) requirements surrounding the use of funds received. X X X X X X false true false false false true false false false Dr David W Mercer DIRECTOR 0 430903 0 55255 0 0 0 27450 0 9555 0 523163 0 0 Dr Debra Romberger DIRECTOR 0 354975 0 120000 0 0 0 27450 0 7410 0 509835 0 0 James Linder CEO 1639180 0 704493 0 204734 0 9150 0 6947 0 2564504 0 0 0 Stephanie Daubert CFO 627706 0 235343 0 23699 0 24525 0 6496 0 917769 0 0 0 Jennifer Bartholomew FACILITIES MANAGEMENT VP 252009 0 64350 0 20046 0 24525 0 10140 0 371070 0 0 0 Cory D Shaw CHIEF OPERATIONS OFFICER (END 11/2022) 670769 0 252444 0 1512 0 0 0 12129 0 936854 0 0 0 Dr Harris A Frankel CHIEF MEDICAL OFFICER 625603 0 221308 0 134055 0 24525 0 1423 0 1006914 0 0 0 Michael A Ash CHIEF OPERATIONS OFFICER 617784 0 224484 0 8 0 27450 0 18185 0 887911 0 0 0 Frank Venuto CHIEF HUMAN CAPITAL OFFICER 371055 0 149179 0 123046 0 20588 0 11836 0 675704 0 0 0 Dr Suzanne Nuss CHIEF NURSING OFFICER 389482 0 143408 0 2947 0 24525 0 12095 0 572457 0 0 0 Anna Cramer CHIEF LEGAL OFFICER 468388 0 172683 0 21277 0 20588 0 2059 0 684995 0 0 0 Brian J Lancaster INFORMATION TECH VP (END 07/2022) 227444 0 106376 0 689 0 0 0 4752 0 339261 0 0 0 Theresa Franco CANCER CTR/RAD/IMAG SVCS VP 295243 0 92812 0 31100 0 24525 0 11819 0 455499 0 0 0 Thomas C Macy AMB CLINICS/CLINICAL PROG VP 374305 0 92812 0 1220 0 24525 0 12127 0 504989 0 0 0 Julie Lazure ACUTE CARE/PATH SVCS VP 348694 0 92812 0 26976 0 24525 0 12122 0 505129 0 0 0 Matthew Pospisil PERIOP SVS/BELLEVUE VP 371785 0 92812 0 2466 0 24525 0 13561 0 505149 0 0 0 Bryce Brackle VP Finance 339305 0 74064 0 719 0 16013 0 644 0 430745 0 0 0 Kyle Skiermont PharmD VP 377864 0 117812 0 0 0 16013 0 7927 0 519616 0 0 0 Scott Raymond Information Technology VP (BEG 8/2022) 171658 0 40000 0 0 0 0 0 2585 0 214243 0 0 0 Jennifer L Brown STAFF PHYSICIAN-PRIMARY 281354 0 131340 0 0 0 24525 0 12170 0 449389 0 0 0 Michael A Donner STAFF PHYSICIAN-PRIMARY 294850 0 96064 0 610 0 24525 0 12093 0 428142 0 0 0 Frank S Lococo CORP MARK & COMM VP 281526 0 72418 0 13000 0 20588 0 6850 0 394382 0 0 0 Jay C Anderson STAFF PHYSICIAN-PRIMARY 281208 0 92002 0 0 0 24525 0 572 0 398307 0 0 0 Isaac J Berg Staff-Physician-Primary 280069 0 118668 0 337 0 24525 0 9934 0 433533 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CERTAIN EXECUTIVES DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. NO PAYOUT OCCURRED DURING THE YEAR FROM A SUPPLEMENTAL NONQUALIFIED PLAN TO CURRENT OR FORMER* INDIVIDUALS. IN ADDITION, The Nebraska Medical Center (TNMC) HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (AMENDED AND RESTATED JANUARY 1, 2008) WHICH CONSTITUTES AN UNFUNDED, UNSECURED PLAN TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES UPON SEPARATION OF SERVICE, SUBJECT TO THE TERMS AND CONDITIONS OF THE PLAN. THE BENEFIT IS PAID IN FULL ONE YEAR AFTER EMPLOYMENT SEPARATION, AND THE AMOUNT IS BASED ON THE PARTICIPANT'S ANNUAL COMPENSATION, VALUE OF THE PARTICIPANT'S TNMC QUALIFIED RETIREMENT PLAN BENEFIT, SOCIAL SECURITY BENEFIT, AND NUMBER OF YEARS OF SERVICE. PAYOUTS THAT OCCURRED DURING THE YEAR FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO THE FOLLOWING INDIVIDUALS: JAMES LINDER: $200,000 HARRIS A. FRANKEL: $129,137 FRANK VENUTO: $82,046 THERESA FRANCO: $20,050 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization THE ORGANIZATION'S FINANCIAL RESULTS ARE TAKEN INTO CONSIDERATION WHEN CALCULATING COMPENSATION IN ADDITION TO OTHER NON-FINANCIAL FACTORS. EXECUTIVE INCENTIVE COMPENSATION IS DETERMINED BY SEVERAL KEY METRICS THAT ARE ESTABLISHED BY THE NEBRASKA MEDICAL CENTER GOVERNING BODY. THESE METRICS ARE INCLUSIVE OF STRATEGIC, FINANCIAL, OPERATIONAL AND QUALITY OUTCOMES. ON AN ANNUAL BASIS, THE NEBRASKA MEDICAL CENTER GOVERNING BODY REVIEWS ACHIEVEMENT OF PRESET TARGETS AND APPROVES INCENTIVES WHEN WARRANTED. THESE PERFORMANCE PAYMENTS ARE SET IN CONSIDERATION OF TOTAL COMPENSATION VS. COMPARED TO MARKET FOR SIMILAR POSITIONS. AS IT WAS DETERMINED THAT IT IS IN THE BEST INTEREST OF THE ORGANIZATION TO HAVE A PORTION OF THEIR BASE PAY SUBJECT TO FORFEITURE UNLESS THE PRE-DETERMINED FINANCIAL AND NON-FINANCIAL FACTORS DISCUSSED ABOVE ARE ACHIEVED. INCENTIVE COMPENSATION RELATED TO FY23 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: JAMES LINDER: $704,493 STEPHANIE DAUBERT: $235,343 ANNA CRAMER: $172,683 THERESA FRANCO: $92,812 HARRIS A. FRANKEL: $221,308 JULIE LAZURE: $92,812 THOMAS C. MACY: $92,812 SUZANNE NUSS: $143,408 BRYCE BRACKLE: $74,064 MICHAEL A. DONNER: $96,064 MATTHEW E. POSPISIL: $92,812 CORY D. SHAW: $252,444 FRANK VENUTO: $149,179 KYLE SKIERMONT: $117,812 FRANK S. LOCOCO: $72,418 MICHAEL A. ASH: $224,484 JENNIFER BARTHOLOWMEW: $64,350 JENNIFER L. BROWN: $131,340 ISAAC J. BERG: $118,668 JAY C. ANDERSON: $92,002 SCOTT RAYMOND: $40,000 DAVID W. MERCER: $55,255 DEBRA ROMBERGER: $120,000 BRIAN J. LANCASTER: $106,376 A HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE 521440796 259230MV9 2016-08-23 157496093 CAPITAL PROJECT & REFUND PRIOR LEASE (5/1/2014) false false false B HOSPITAL AUTH NO 1 OF SARPY COUNTY NE 470834151 80372PAR7 2016-08-23 147968496 CAPITAL PROJECT & REFUND PRIOR LEASE (10/30/2013) false false false C HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE 521440796 259230PV6 2022-03-30 50001329 REFUND PRIOR BONDS (8/5/2020) false false false A 29700000 0 157516214 0 0 0 0 0 0 115024453 42491761 0 2016 true false true true B 0 0 147968496 0 0 0 0 0 0 130156459 17812037 0 2016 true false true true C 0 0 50001329 0 1329 0 0 0 0 0 50000000 0 2022 true false true true A false true true true true true 0.0299 0.0 0.0299 false false true B false true true true true true 0.0299 0.0 0.0299 false false true C false false false false 0.0 0.0 0.0 false false true A false false true true false false false false true B false false true true false false false false true C false false true true false false false false true A true B true C true Schedule K, Part II, Line 3 Column C THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, LINE A, COLUMN (E) DUE TO INVESTMENT EARNINGS Schedule K, Part IV, Line 2c COLUMN A DATE THE REBATE COMPUTATION WAS PERFORMED: 7/31/2017 Schedule K, Part IV, Line 2c COLUMN B DATE THE REBATE COMPUTATION WAS PERFORMED: 7/31/2017 Schedule K, Part IV, Line 2c Column C DATE THE REBATE COMPUTATION WAS PERFORMED: 9/30/2022 Bruce Grewcock Kiewit Construction, Chair 6998826 Construction Services false James T Canedy Wife is Employee 18416 Employment false Eric Keen HDR, Chair 1656497 Construction Services false Form 990, Part III, Line 4d Description of other program services (Expenses $ 946,926,499 including grants of $ 119,929,090)(Revenue $ 764,444,511) All Other Hospital Services WITH A HISTORY DATING BACK TO 1869, TNMC WAS FORMED WITH THE MERGING OF BISHOP CLARKSON MEMORIAL HOSPITAL AND UNIVERSITY HOSPITAL. IN JULY 2016, UNMC PHYSICIANS OUTPATIENT CLINICS BECAME PART OF THE ORGANIZATION. TNMC CONTINUES TO ATTRACT PATIENTS FROM THE REGION AND AROUND THE WORLD. TNMC IS A TERTIARY/QUATERNARY ACADEMIC MEDICAL CENTER. IT IS THE LARGEST HEALTH CARE FACILITY IN THE STATE WITH MORE THAN 10,000 EMPLOYEES AND OVER 900 PHYSICIANS PRACTICING IN ALL MAJOR SPECIALTIES AND SUB-SPECIALTIES. IN ADDTION TO KEY SERVICES IN CARDIOLOGY, ONCOLOGY, TRANSPLANT AND NEUROLOGY, TNMC OFFERS COMPREHENSIVE CARE IN WOMEN'S SERVICES FOR OBSTETRICS AND GYNECOLOGY, AS WELL AS PEDIATRIC SERVICES, ORTHOPEDICS, RHEUMATOLOGY, AND PULMONARY CARE. IN ADDITION, TNMC HAS ONE OF THE REGION'S LARGEST HYPERBARIC MEDICINE PROGRAMS. TNMC IS THE MOST ESTEEMED ACADEMIC HEALTH SYSTEMS IN THE REGION, WITH 809 LICENSED BEDS AT ITS TWO HOSPITALS, NEBRASKA MEDICAL CENTER AND BELLEVUE MEDICAL CENTER. TNMC ALSO OPERATES 40 SPECIALTY AND PRIMARY CARE CLINICS IN OMAHA AND SURROUNDING AREAS. TNMC HAS ONE OF THE FEW BIOCONTAINMENT UNITS IN THE UNITED STATES EQUIPPED TO SAFELY CARE FOR PEOPLE EXPOSED TO HIGHLY CONTAGIOUS, DANGEROUS DISEASES. IN 2014, THE NEBRASKA BIOCONTAINMENT UNIT WAS ACTIVATED TO PROVIDE CARE FOR THREE AMERICANS WHO CONTRACTED THE EBOLA VIRUS DURING THE WEST AFRICA OUTBREAK. THIS RESPONSE RESULTED IN TNMC AND UNMC BECOMING ONE OF THREE DESIGNATED EBOLA TREATMENT AND EDUCATION CENTERS IN THE UNITED STATES. THROUGHOUT THE LAST DECADE, BIOCONTAINMENT UNIT STAFF HAVE CONTINUED TO EDUCATE PUBLIC HEALTH AND INFECTIOUS DISEASE TEAMS FROM AROUND THE WORLD ABOUT SAFE PROTOCOLS AND RESPONSES TO INFECTIOUS DISEASES, MOST RECENTLY COVID-19. TNMC WAS ONE OF THE FIRST TO CARE FOR EXPOSED AND INFECTED AMERICANS IN EARLY 2020 AND CONTINUES TO BE A WORLD LEADER IN TREATING AND MITIGATING THE VIRUS. THE ORGANIZATION CONTINUES TO STRIVE TOWARD ITS MISSION TO LEAD THE WORLD IN TRANSFORMING LIVES TO CREATE A HEALTHY FUTURE FOR ALL INDIVIDUALS AND COMMUNITIES THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH AND EXTRAORDINARY PATIENT CARE. THIS WAS DEMONSTRATED THROUGH A VARIETY OF ACTIVITIES THROUGHOUT FY21 AS WELL AS THE HEALTH SYSTEM MAINTAINING ITS ROLE AS A LOCAL, REGIONAL AND NATIONAL LEADER IN THE RESPONSE TO THE COVID-19 PANDEMIC. THE FOLLOWING EFFORTS CONTINUED AS A RESULT OF THE COVID-19 PANDEMIC: * INPATIENT AND OUTPATIENT CLINICAL CARE FOR PATIENTS AFFECTED BY COVID-19 * CONDUCTED OUTREACH AND PROVIDED MONOCLONAL ANTIBODY INFUSIONS TO PATIENTS INFECTED WITH COVID-19 AT HIGHEST RISK OF SERIOUS DISEASE OR COMPLICATIONS * UTILIIZATION OF E-VISITS AND VIDEO VISITS THROUGH AN ONLINE PATIENT PORTAL AND PATIENT-FACING MOBILE APP. ALLOWED FOR INCREASED ACCESS AND INCLUDES PRIMARY, SPECIALTY AND IMMEDIATE CARE APPOINTMENTS * CREATION OF TRAINING MATERIALS THROUGH THE GLOBAL CENTER FOR HEALTH SECURITY * PROVIDED TRAINING AND EDUCATION FOR HEALTH CARE WORKERS THROUGH NATIONAL EMERGING SPECIAL PATHOGENS TRAINING AND EDUCATION (NETEC) * CONDUCTED AND PARTICIPATED IN CLINICAL TRIALS * SERVED AS A COMMUNITY AND NATIONAL EXPERT THROUGH NEWS AND SOCIAL MEDIA, AND COMMUNITY OUTREACH ADDITIONAL HIGHLIGHTS FROM THE YEAR INCLUDED * GROUNDBREAKING AND BEAM SIGNING OF THE FUTURE CANCER FACILITY IN KEARNEY, NEBRASKA * OPENING OF THE HUB PHARMACY IN OMAHA TO IMPROVE EFFICIENCY OF DISTRIBUTION OF PRESCRIPTIONS TO TNMC'S RETAIL PHARMACY LOCATIONS * EXPANSION OF THE OFFICE OF INCLUSION AND DIVERSITY, HIRING NEW DEPARTMENT STAFF AND EXPANDING THE NUMBER AND SCOPE OF EMPLOYEE RESOURCE GROUPS * RIBBON CUTTING OF THE COMMUNITY WELLNESS COLLABORATIVE, IN PARTNERSHIP WITH UNMC, THAT SERVES THE NORTH OMAHA COMMUNITY WITH HEALTH EDUCATION AND RESOURCES * OPENING OF A FOURTH CLINICAL BUILDING AT VILLAGE POINTE HEALTH CENTER IN WEST OMAHA, INCREASING SERVICES AND ACCESS FOR PATIENTS * CONSTRUCTION AND ONGOING DESIGN FOR INNOVATION DESIGN UNIT, A PATIENT CARE UNIT THAT WILL BE USED TO PILOT INNOVATIVE CARE DELIVERY AND TECHNOLOGY IN FY23, NEBRASKA MEDICAL CENTER EARNED THE FOLLOWING: * US NEWS & WORLD REPORT BEST HOSPITAL IN THE STATE * US NEWS & WORLD REPORT RANKED THE EAR, NOSE AND THROAT PROGRAM IN THE TOP 50 NATIONALLY * US NEWS & WORLD REPORT RATED CANCER, GASTROENTROLOGY, GI SURGERY, ORTHOPAEDICS AND PULMONARY AND LUNG SURGERY AS HIGH PERFORMING SPECIALTIES * Nebraska Medical Center WAS NAMED TO THE FORBES BEST-IN-STATE EMPLOYERS LIST * BECKER'S HOSPITAL REVIEW LISTED NEBRASKA Medical Center AS ONE OF THE TOP 150 PLACES TO WORK IN HEALTH CARE * BELLEVUE MEDICAL CENTER WAS AWARDED A 5-STAR RATING AND A QUALITY LEADERSHIP TOP PERFORMER BY VIZIENT * HEALTHGRADES RECOGNIZED BELLEVUE MEDICAL CENTER WITH ITS 2023 PATIENT SAFETY EXCELLENCE AND OUTSTANDING PATIENT EXPERIENCE AWARDS Form 990, Part III, Line 4d Description of other program services (Expenses $ 194,646,237 including grants of $ 43,629,385)(Revenue $ 214,276,553) Digestive Disease and Kidney Service Line The Nebraska Medical Center (TNMC) operates one of the busiest solid organ transplant programs in the world. In 2016, TNMC joined a small number of transplant centers which have programs for transplants of all solid organs. TNMC's lung transplant program did its first transplant in February 2016. In the year ended June 30, 2023, TNMC performed 328 solid organ transplants including liver, kidney, heart, lung, pancreas, and small bowel. The success of TNMC's solid organ transplant program is heightened by research done on the TNMC/University of Nebraska Medical Center (UNMC) campuses. Since its inception, patients have come to TNMC for single or multiple organ transplants from all fifty states and five continents. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Mr. Bruce Grewcock and Mr. Mogens Bay - Business relationship, Dr. James Linder and Mr. Brian Lancaster - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders NEBRASKA MEDICINE IS THE SOLE MEMBER OF TNMC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body EFFECTIVE 2017, TNMC HAS ONE MEMBER, NEBRASKA MEDICINE, A NONPROFIT ORGANIZATION THAT HAS BEEN RECOGNIZED AS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TNMC'S BYLAWS PROVIDE THAT THE MEMBERS OF TNMC'S BOARD OF DIRECTORS SHALL BE THE SAME PERSONS WHO SERVE AS MEMBERS OF THE BOARD OF NEBRASKA MEDICINE. THE TNMC BOARD IS COMPRISED OF 15 DIRECTORS, SPECIFICALLY 11 VOTING DIRECTORS AND 4 EX-OFFICIO NON-VOTING DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING POWERS ARE RESERVED TO TNMC'S SOLE MEMBER, NEBRASKA MEDICINE: - AMENDMENT TO TNMC'S ARTICLES OF INCORPORATION; - A MERGER OR CONSOLIDATION OF TNMC WITH OR INTO ANY OTHER ENTITY; - SALE, TRANSFER, LEASE, DISPOSITION, OR CHANGE IN USE OF (A) MORE THAN 50% OF THE ASSETS OF THE CLINICAL OPERATIONS OF TNMC; OR (B) SUCH OTHER ASSETS AS THE TNMC BOARD DESIGNATES; - ENTRY INTO A JOINT OPERATING AGREEMENT, INTEGRATION AGREEMENT, OR SIMILAR AGREEMENT, OR AMENDMENT TO ANY EXISTING SIMILAR AGREEMENT; - ISSUANCE OR INCURRENCE OF INDEBTEDNESS RESULTING IN A DEBT/EQUITY RATIO IN EXCESS OF 40% OR A DEBT COVERAGE RATIO LESS THAN 1.25; - LIQUIDATION OR DISSOLUTION OF TNMC; - ADMISSION OF ONE OR MORE ADDITIONAL MEMBERS OF TNMC; - ENTRY INTO ANY AFFILIATIONS THAT WOULD CHANGE THE SIZE OF THE BOARD, A CHANGE TO THE QUORUM REQUIREMENTS, OR CHANGE IN THE SUPERMAJORITY VOTING REQUIREMENTS; - APPROVAL OF ANY AMENDMENT TO THE BYLAWS; OR - A GIFT, PLEDGE, DONATION, OR GRANT IN EXCESS OF ONE MILLION DOLLARS. Form 990, Part VI, Line 11b Review of form 990 by governing body A COPY OF THE FORM 990 WAS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, THE BOARD OF DIRECTORS WERE PROVIDED A COPY OF THE FORM 990 TO REVIEW ON THE SECURED BOARD PORTAL CALLED BOARD EFFECT BEFORE IT WAS FILED. Form 990, Part VI, Line 12c Conflict of interest policy MONITORING AND ENFORCEMENT OF BOARD INDEPENDENCE EACH MEMBER OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES DISCLOSES ANNUALLY THAT HE/SHE IS EITHER AN OFFICER, DIRECTOR, MEMBER, OWNER, AGENT OR ASSOCIATED IN SOME MANNER WITH DELINEATED BUSINESS ENTITIES THAT EITHER HAVE OR MIGHT REASONABLY BE EXPECTED TO HAVE A BUSINESS RELATIONSHIP WITH TNMC. EACH BOARD MEMBER AGREES TO MAKE CONFLICTS KNOWN AND WITHDRAW FROM PARTICIPATION IN DELIBERATIONS IF A SUBSEQUENT CONFLICT ARISES. DISCLOSURE STATEMENTS ARE DISTRIBUTED ANNUALLY AND MONITORED BY THE CORPORATE COMPLIANCE OFFICER FOR COMPLETION. ANY DISCLOSED CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE CHAIRMAN OF THE BOARD FOR BOARD MEMBERS AND OFFICERS OR TO THE OFFICERS FOR KEY EMPLOYEES. Form 990, Part VI, Line 15a Process to establish compensation of top management official The executive and physician compensation committee of The Nebraska Medical Center's Board of Directors is comprised of a chair (appointed by the Board of Directors), a vice chair, and not less than two (2) additional directors from the board, all of whom are determined by the board to be independent from the University of Nebraska Medical Center and Nebraska Medicine, which includes UNMC Physicians and the Nebraska Medical Center. The compensation committee is responsible for overseeing the performance and compensation of the CEO, assessing the appropriateness and reasonableness of the executive compensation and benefit programs, and monitoring compensation programs with senior executives and physicians to confirm compliance with regulations and business need. The committee reviews all proposed compensation for senior executives and physicians, including the CEO. All compensation submitted for review must be supported by appropriate documentation, including, but not limited to, comparability data (I.E., Association of American Medical Colleges (AAMC)) relevant for the occupation and corporation position. This data is compared to similarly situated AAMC organizations of comparable revenue. The executive compensation data is provided by an independent compensation consulting firm hired by the committee, and this firm reports directly to the committee. The committee ensures that its review and approval qualify for the rebuttable presumption of reasonableness under the intermediate sanction's regulations (26 C.F.R. 53.4958-6, as amended). To ensure such compliance, the committee: 1. Ensures committee members are free from any relationships or conflicts of interest that may impair, or appear to impair, a committee member's ability to make independent judgements; 2. Receives and relies upon appropriate data as to comparability from internal or external resources prior to making its determination; and 3. Documents the basis for its determination of reasonableness concurrently with making that determination. Such documentation includes: A) The terms of the arrangement that was approved and the date it was approved; B) The members of the committee who were present and those who voted on it (quorum is required for any approval); C) The comparability data obtained and relied upon by the committee and how such material was obtained; and D) The action(s) taken by the committee. All compensation and benefits for the CEO are reviewed and recommended by the committee to the Board of Directors for final approval. Form 990, Part VI, Line 15b Process to establish compensation of other employees The executive and physician compensation committee of The Nebraska Medical Center's Board of Directors is comprised of a chair (appointed by the Board of Directors), a vice chair, and not less than two (2) additional directors from the board, all of whom are determined by the board to be independent from the University of Nebraska Medical Center and Nebraska Medicine, which includes UNMC Physicians and the Nebraska Medical Center. The compensation committee is responsible for assessing the appropriateness and reasonableness of the executive compensation and benefit programs and monitoring compensation programs with senior executives and physicians to confirm compliance with regulations and business need. The committee reviews all proposed compensation for senior executives and physicians. All compensation submitted for review must be supported by appropriate documentation, including, but not limited to, comparability data (I.E., Association of American Medical Colleges (AAMC)) relevant for the occupation and corporation position. This data is compared to similarly situated AAMC organizations of comparable revenue. The executive compensation data is provided by an independent compensation consulting firm hired by the committee, and this firm reports directly to the committee. The committee ensures that its review and approval qualify for the rebuttable presumption of reasonableness under the intermediate sanction's regulations (26 C.F.R. 53.4958-6, as amended). To ensure such compliance, the committee: 1. Ensures committee members are free from any relationships or conflicts of interest that may impair, or appear to impair, a committee member's ability to make independent judgements; 2. Receives and relies upon appropriate data as to comparability from internal or external resources prior to making its determination; and 3. Documents the basis for its determination of reasonableness concurrently with making that determination. Such documentation includes: A) The terms of the arrangement that was approved and the date it was approved; B) The members of the committee who were present and those who voted on it (quorum is required for any approval); C) The comparability data obtained and relied upon by the committee and how such material was obtained; and D) The action(s) taken by the committee. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE TYPICALLY NOT MADE AVAILABLE TO THE PUBLIC. HOWEVER, IF SOMEONE COMES INTO THE ACCOUNTING DEPARTMENT AND REQUESTS TO VIEW THE DOCUMENTS, THEY WOULD BE MADE AVAILABLE TO VIEW IN THE OFFICE. Form 990, Part VIII, Line 2f Other Program Service Revenue All Other - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All Other Revenue - Total Revenue: 20480857, Related or Exempt Function Revenue: 19665581, Unrelated Business Revenue: 815276, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Investment in Clarkson College - 5688921; Change in Pension Assets - 172992; Net Assets Released - -1581317; Equity Change - -125451; BELLEVUE MEDICAL CENTER 2500 Bellevue Medical Center Drive BELLEVUE NE 68123 204305186 ACUTE CARE NE 118284648 217880968 TNMC Nebraska Medicine Ventures LLC 987400 Nebraska Medical Center Omaha NE 681987400 882728780 Investments NE 0 0 TNMC UNMC PHYSICIANS 988145 NEBRASKA MEDICAL CENTER Omaha NE 68198 470785575 HEALTHCARE NE 501(c)(3) 3 NM false CLARKSON COLLEGE 101 SOUTH 42ND STREET Omaha NE 68131 363649217 COLLEGE NE 501(c)(3) 2 TNMC true NEBRASKA MEDICINE 987400 NEBRASKA MEDICAL CENTER Omaha NE 68198 813158267 SUPPORT NE 501(c)(3) Type I na false NE HEALTH NETWORK 8511 DODGE RD Omaha NE 68114 271784907 Health Care NE NHP Related 0 0 false false NHS ORTHOPAEDIC SERVICES INC 988145 NEBRASKA MEDICAL CENTER Omaha NE 681988145 470845238 INVEST SVC NE TNMC C Corporation 60 30366106 1 true NEBRASKA HEALTH PARTNERS INC 988145 NEBRASKA MEDICAL CENTER Omaha NE 681988145 470816463 MGMT NE TNMC C Corporation 12937834 4753980 1 true false true false true false false false false false true false true true true true true true false false CLARKSON COLLEGE B 6018325 BOOK CLARKSON COLLEGE J 15274162 BOOK CLARKSON COLLEGE L 2764006 BOOK NEBRASKA HEALTH PARTNERS O 2093599 BOOK