2023-05-09T21:31:08+00:00 2022-06-30 990 2021-07-01 911858433 The Nebraska Medical Center NEBR 4025594000 988145 NEBRASKA MEDICAL CENTER Omaha NE 681988145 Stephanie Daubert CFO 2023-05-09 STEPHANIE DAUBERT 999009999 2021 2023-04-26 12:10:37Z STEPHANIE DAUBERT 988145 NEBRASKA MEDICAL CENTER Omaha NE 681988145 1855915359 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. 11 7 10667 515 2094891 401153 59294118 39011994 1594975650 1664240448 49196175 917254 149201219 151745663 1852667162 1855915359 329572486 323064090 0 0 552534135 649594163 449245 471390 664916 796813767 843438779 1679369633 1816568422 173297529 39346937 2150779133 1993427448 958019993 778650654 1192759140 1214776794 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 314655951 76588174 394538236 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; and in Shenandoah, IA. In addition, as one of the busiest programs in the world, the bone marrow transplantation program served 227 patients in the year ended June 30, 2022. 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 2022, the oncology service line treated 133,989 cases. 291497950 57275518 295050538 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. 217065846 47550844 244954608 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, 2022, TNMC performed 13 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, 2022, 827 open heart surgeries were performed, including 43 heart transplants. 826950668 107002097 698164657 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 700 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 MORE THAN TWO YEARS INTO THE PANDEMIC. 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 FY22 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 * UNIVERSAL MASKING AND PERSONAL PROTECTIVE EQUIPMENT POLICIES FOR STAFF AND PATIENTS * CONTINUED TO REQUIRE COVID-19 VACCINATION FOR STAFF * 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 * ACQUIRED HEARTLAND HEMATOLOGY & ONCOLOGY IN KEARNEY, NEBRASKA. * BEGAN CONSTRUCTION OF PHARMACY HUB IN OMAHA TO IMPROVE EFFICIENCY OF DISTRIBUTION OF PRESCRIPTIONS TO NEBRASKA MEDICINE'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 * CONTINUING CONSTRUCTION OF CLINICAL FACILITIES AT VILLAGE POINTE HEALTH CENTER IN WEST OMAHA, INCREASING SERVICES AND ACCESS FOR PATIENTS * EXPANSION OF FAST PASS PROGRAM, WHICH ALLOWS PATIENTS TO BE NOTIFIED OF APPOINTMENT CANCELLATIONS AND BE SEEN BY PROVIDERS AS OPENINGS ARE AVAILABLE * CONSTRUCTION AND ONGOING DESIGN FOR INNOVATION DESIGN UNIT, A PATIENT CARE UNIT THAT WILL BE USED TO PILOT INNOVATIVE CARE DELIVERY AND TECHNOLOGY IN FY22, NEBRASKA MEDICAL CENTER EARNED THE FOLLOWING: * NAMED BEST HOSPITAL IN NEBRASKA BY U.S. NEWS AND WORLD REPORT FOR THE 11TH CONSECUTIVE YEAR * NAMED ONE OF THE TOP TEN TRUSTED HEALTH SYSTEMS BY THE AMERICAN HOSPTIAL ASSOCIATION * NAMED AS ONE OF NEWSWEEK'S WORLD'S BEST HOSPITALS 2022 * NAMED AS ONE OF NEWSWEEK'S BEST MATERNITY HOSPITALS 2022 * NAMED AS ONE OF NEWSWEEK'S BEST SMART HOSPTIALS 2022 * RECOGNIZED BY FORBES AS ONE OF THE TOP TEN BEST EMPLOYERS IN NEBRSAKA FOR THE FOURTH CONSECUTIVE YEAR * TRAINING MAGAZINE'S TOP 100 COMPANIES FOR TRAINING PROGRAMS AWARD 156336713 34647457 178483780 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, and 13 lung transplants were performed during 2022. In the year ended June 30, 2022, TNMC performed 295 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. 983287381 141649554 876648437 1806507128 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 391 0 true 10667 true true true false false false false false false false false false true false X 11 7 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 602514 38298 Dr Debra Romberger DIRECTOR 30.0 30.0 X 0 521857 33287 Eric K Keen DIRECTOR 1.0 2.0 X 0 0 0 James E McClurg PHD DIRECTOR (END 10/2021) 1.0 2.0 X 0 0 0 James T Canedy DIRECTOR 1.0 3.0 X 0 0 0 Jane Miller DIRECTOR (BEG 12/2021) 1.0 2.0 X 0 0 0 Jim Pillen DIRECTOR 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 3548974 0 14259 Stephanie Daubert CFO 45.0 10.0 X 814487 0 86638 Anna Cramer CHIEF LEGAL OFFICER 45.0 10.0 X 627539 0 62924 Brian J Lancaster INFORMATION TECH VP 30.0 30.0 X 510811 0 50743 Bryce Brackle VP Finance 45.0 0 X 355789 0 32891 Cory D Shaw CHIEF OPERATIONS OFFICER 45.0 10.0 X 870739 0 95467 Dr Harris A Frankel CHIEF MEDICAL OFFICER 10.0 45.0 X 0 822613 79257 Dr Suzanne Nuss CHIEF NURSING OFFICER 44.0 11.0 X 548179 0 73197 Frank Venuto CHIEF HUMAN CAPITAL OFFICER 45.0 10.0 X 566166 0 31339 Jennifer Bartholomew FACILITIES MANAGEMENT VP 55.0 0 X 293178 0 46156 Julie Lazure ACUTE CARE/PATH SVCS VP 55.0 0 X 431551 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LLC 8910 University Center Lane Suite 400 San Diego CA 92122 Consulting Services 13853529 Choice Solutions LLC 7015 College Blvd Suite 300 Overland Park KS 66211 IT Services 11373126 93 24267019 14744975 39011994 Oncology & BMT 900099 394538236 394538236 Neurosciences 900099 295050538 295050538 Cardiovascular 446110 244954608 244954608 Digestive Disease & Kidney 900099 178483780 178483780 Other Surgery 900099 206581944 206581944 344631342 344631342 0 0 1664240448 -3424611 -3424611 2670748 28653 2670748 28653 2699401 2699401 4148095 193770 4148095 193770 4341865 4341865 Pharmacy Services 900099 93042912 92391429 651483 Lab Administration 900099 17042731 17042731 One Chart Practice 900099 14460640 14460640 24499979 23056571 1443408 0 149046262 1855915359 1811191819 2094891 3616655 273750683 273750683 49313407 49313407 10557728 1161350 9396378 527919177 527782599 136578 27138584 27129534 9050 50265393 50247698 17695 33713281 33704578 8703 1742004 1742004 676064 676064 87852 87852 471390 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14938351 Due to affiliates 0 Other long-term liabilities 1784615 Right of use operating leases 136260898 166715579 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, 2022 OR 2021. 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 567148 471390 95758 567148 471390 95758 true true X true X true X true true true false true true 10319024 10319024 0.0057 190713778 131276037 59437741 0.0327 4512369 4683311 0 0.0 0 0 205545171 135959348 69756765 0.0384 3185784 1572643 1613141 0.0009 64058111 11309239 52748872 0.0290 21924261 16314359 5609902 0.0031 4005806 898807 3106999 0.0017 218956274 218956274 0.1205 0 0 312130236 30095048 282035188 0.1553 0 0 517675407 166054396 351791953 0.1937 0 0.0 50000 50000 0.0000 30884 30884 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 162178 162178 0.0001 0 0.0 0 0 243062 0 243062 0.0001 true 27704213 248513389 281626775 -33113386 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 21 true https://www.nebraskamed.com/sites/default/files/documents/About_Us/2022-CHIP.pdf 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 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 2019-2022 CHNA AND IMPLEMENTATION PLANNING CYCLE IDENTIFIED ELEVEN SIGNIFICANT HEALTH NEEDS, THREE OF WHICH WERE PRIORITIZED FOR THE PLANNING PERIOD:(1) INJURY & VIOLENCE PREVENTION, (2) MENTAL HEALTH AND (3) ACCESS TO HEALTHCARE SERVICES. BELOW ARE SOME HIGHLIGHTS FROM THE FISCAL 2019-2022 PLAN. * FUNDED OVER $912,000 TO COMMUNITY NONPROFIT PARTNERS TOWARDS INITIATIVES AND PROGRAMS RELATED TO ACCESSING CARE * FINANCIAL COUNSELORS ASSISTED OVER 21,700 PATIENTS WITH ENROLLMENT IN PUBLIC ASSISTANCE PROGRAMS * PROVIDED OVER $149,000 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 * CONDUCTED VIOLENCE PREVENTION PROGRAM DUSK TO DAWN IN 80 CLASSES FOR 619 ATTENDEES * SERVED 152 PARTICIPANTS IN ENCOMPASS OMAHA, A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM * PROVIDED COMMUNITY-LEVEL TRAUMA EDUCATION WITH STOP THE BLEED OVER 900 ATTENDEES * DEVELOPMENT OF PSYCHIATRY SUBSPECIALTY CLINICS (WOMEN'S REPRODUCTIVE HEALTH, TREATMENT RESISTANT DEPRESSION, ASPIRE [SEVERE AND PERSISTENT MENTAL ILLNESS], ADDICTIONS, ANXIETY DISORDERS, DIALECTICAL BEHAVIOR THERAPY) * IMPLEMENTED UNIVERSAL SUICIDE SCREENING AND SAFETY PLANNING FOR HOSPITAL ADMISSIONS AT NEBRASKA MEDICAL CENTER AND BELLEVUE MEDICAL CENTER * STARTED ADDICTION PSYCHIATRY INPATIENT CONSULTATION-LIAISON SERVICE * ESTABLISHED BEHAVIORAL HEALTH CONNECTION PROGRAM * DEVELOPED ADDICTION MEDICINE FELLOWSHIP IN PARTNERSHIP WITH FAMILY MEDICINE * INCREASED OFFERING AND AVAILABILITY OF OUTPATIENT BEHAVIORAL HEALTH SERVICES VIA TELEHEALTH * OPENED A NEW 24/7 PSYCHIATRIC EMERGENCY SERVICES UNIT * PROVIDE PSYCHIATRIC SERVICES TO COMMUNITY ORGANIZATIONS SERVING UNDERSERVED COMMUNITIES, INCLUDING CHARLES DREW HEALTH CENTER, DOUGLAS COUNTY YOUTH CENTER, SANTEE HEALTH CENTER (SANTEE SIOUX RESERVATION), COMMUNITY ALLIANCE, PRIMARY CARE PRACTICES IN RURAL NE, OLSEN WOMEN'S CENTER, AND NM 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 13.32% 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 2022 ESTIMATED CENSUS POPULATION (DERIVED FROM THE US CENSUS BUREAU) FOR THIS LOCAL AREA IS 805,443. THE ESTIMATED RACE BREAKDOWN OF THE POPULATION IS BELOW. *WHITE ALONE 79.97% *BLACK ALONE 5.57% *AMERICAN INDIAN AND ALASKA NATIVE ALONE 0.93% *ASIAN ALONE 2.60% *PACIFIC ISLANDER ALONE 0.13% *TWO OR MORE RACES 2.73% HISPANIC OR LATINO 9.43% 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, 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. 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. 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 AN ECONOMIC DEVELOPMENT PARTNERSHIP AIMED AT THE DEVELOPMENT OF NEW BUSINESS IN THE CITY'S URBAN AREAS. 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. (CHNA) FOR NEBRASKA MEDICINE (WHICH INCLUDES TNMC AND 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. Schedule H, Part VI, Line 7 State filing of community benefit report NE true American Cancer Society 8030 Farnam Drive Omaha NE 68114 131788491 501(C)(3) 10000 General Support American Heart Association 9900 Nicholas Street Omaha NE 68114 135613797 501(C)(3) 23700 General Support Angels Among Us 3858 Jones Street Omaha NE 68105 204728470 501(C)(3) 8320 General Support Community Alliance Foundation 4001 Leavenworth Street Omaha NE 68105 470756969 501(C)(3) 6000 General Support Completely Kids 2566 St Marys Avenue Omaha NE 68105 275111197 501(C)(3) 9000 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 Omaha NE 68102 470633685 501(C)(3) 14750 General Support Greater Omaha Chamber Commerce 808 Conagra Drive Omaha NE 68102 470258610 501(C)(3) 50000 General Support Heartland Family Service 2101 South 42nd Street Omaha NE 68105 470390618 501(C)(3) 8125 General Support Hope Medical Outreach Coalition 4920 South 30th Street Omaha NE 68107 911850344 501(C)(3) 30000 General Support Harbor House 12809 West Dodge Road Omaha NE 68154 364003095 501(C)(3) 25025 General Support I Be Black Girl 1111 North 13th Street Omaha NE 68102 873551841 501(C)(3) 20000 General Support Immigrant Legal Center 4223 Center Street Omaha NE 68105 743195841 501(C)(3) 62500 General Support Iowa Poison Control Center 401 Douglas Street Sioux City IA 51101 421509042 501(C)(3) 16525 General Support Juvenile Diabetes Research Foundation 9202 West Dodge Road Omaha NE 68114 231907729 501(C)(3) 6591 General Support Leukemia & Lymphoma Society 11840 Nicholas Street Omaha NE 68154 135644916 501(C)(3) 14800 General Support Make-A-Wish Foundation Nebraska 11836 Arbor Street Omaha NE 68144 470671096 501(C)(3) 9500 General Support March of Dimes 11840 Nicholas Street Omaha NE 68154 131846366 501(C)(3) 9650 General Support National Safety Council 11620 M Circle Omaha NE 68137 470259720 501(C)(3) 7500 General Support Nebraska Hosa 301 Centennial Mall Southh Lincoln NE 68509 461094994 501(C)(3) 10000 General Support Nebraska Medicine Guild 988145 Nebraska Medical Center Omaha NE 68198 470591991 501(C)(3) 11400 General Support Project Pink'd Inc 11405 Davenport Street Omaha NE 68154 455212995 501(C)(3) 6700 General Support Ronald McDonald House Charity 620 South 38th Avenue Omaha NE 68105 470755104 501(C)(3) 12150 General Support United Way Of The Midlands 2201 Farnam Street Omaha NE 68102 470376605 501(C)(3) 110000 General Support Wellbeing Partners 6001 Dodge Street Omaha NE 68182 470642708 501(C)(3) 10000 General Support City Of Omaha 1819 Farnam Street Omaha NE 68183 476006304 GOVT 12000 General Support Omaha Performing Arts Society 1200 Douglas Street Omaha NE 68102 470832480 501(C)(3) 12500 General Support Harvard Medical School 25 Shattuck Street Boston MA 02115 042103580 501(C)(3) 75254 General Support National Strategic Research Institute NSRI 3835 Holdrege Street Lincoln NE 68583 455426026 501(C)(3) 266468 General Support University of Nebraska Board of Regents 3835 Holdrege Street Lincoln NE 68583 470049123 GOVT 94594039 General Support Clarkson College 101 South 42nd Street Omaha NE 68131 363649217 501(C)(3) 14187030 General Support Clarkson Regional Health Services Inc 9300 Underwood Avenue Omaha NE 68114 470376531 501(C)(3) 8000000 General Support UNMC Physicians 986800 Nebraska Medical Center Omaha NE 68198 470785575 501(C)(3) 156101158 General Support 33 0 Financial Assistance (Charity Care) 9892 39087371 Book Charity Care Financial Assistance (Renal-Indigent Patients) 23 791548 Book Indigent Dialysis Financial Assistance (Pharmaceuticals) 6332 8939112 Book Pharmaceuticals Financial Assistance (Utilization Mgmt Patients) 783 495376 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 424502 0 178012 0 0 0 26100 0 12198 0 640812 0 0 Dr Debra Romberger DIRECTOR 0 347132 0 174725 0 0 0 26100 0 7187 0 555144 0 0 James Linder CEO 1320040 0 2020000 0 208934 0 8700 0 5559 0 3563233 0 0 0 Stephanie Daubert CFO 538092 0 249441 0 26954 0 80800 0 5838 0 901125 0 0 0 Jennifer Bartholomew FACILITIES MANAGEMENT VP 206109 0 67128 0 19941 0 35925 0 10231 0 339334 0 0 0 Cory D Shaw CHIEF OPERATIONS OFFICER 606249 0 258490 0 6000 0 82885 0 12582 0 966206 0 0 0 Dr Harris A Frankel CHIEF MEDICAL OFFICER 0 576489 0 237094 0 9030 0 77955 0 1302 0 901870 0 0 Michael A Ash EVP/CHIEF TRANSFORMATION OFC 0 597000 0 251286 0 4247 0 26100 0 19338 0 897971 0 0 Frank Venuto CHIEF HUMAN CAPITAL OFFICER 158691 0 169561 0 237914 0 19575 0 11764 0 597505 0 0 0 Dr Suzanne Nuss CHIEF NURSING OFFICER 374317 0 165304 0 8558 0 61413 0 11784 0 621376 0 0 0 Anna Cramer CHIEF LEGAL OFFICER 421806 0 181320 0 24413 0 61425 0 1499 0 690463 0 0 0 Brian J Lancaster INFORMATION TECH VP 396103 0 113412 0 1296 0 42363 0 8380 0 561554 0 0 0 Theresa Franco CANCER CTR/RAD/IMAG SVCS VP 348437 0 100547 0 20049 0 23325 0 11074 0 503432 0 0 0 Thomas C Macy AMB CLINICS/CLINICAL PROG VP 340408 0 98257 0 1181 0 42977 0 10881 0 493704 0 0 0 Julie Lazure ACUTE CARE/PATH SVCS VP 312474 0 96012 0 23065 0 43090 0 11658 0 486299 0 0 0 Matthew Pospisil PERIOP SVS/BELLEVUE VP 334901 0 91932 0 2460 0 42873 0 12532 0 484698 0 0 0 Bryce Brackle VP Finance 280697 0 74461 0 631 0 32325 0 566 0 388680 0 0 0 Kyle Skiermont PharmD VP 234242 0 37572 0 0 0 15000 0 4541 0 291355 0 0 0 Michael A Donner STAFF PHYSICIAN-PRIMARY 279954 0 104122 0 610 0 19575 0 11953 0 416214 0 0 0 Frank S Lococo CORP MARK & COMM VP 268777 0 82650 0 13000 0 36105 0 3549 0 404081 0 0 0 Jana Danielson Revenue Cycle VP 251451 0 80677 0 20348 0 37305 0 1800 0 391581 0 0 0 Tammy Winterboer Quality, Effectiveness, and Exp VP 249521 0 78300 0 19887 0 38985 0 8845 0 395538 0 0 0 Geralynne Schmid Payer Strategy VP 244246 0 79100 0 19989 0 37305 0 9999 0 390639 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 FRANK VENUTO: $194,714 THERESA FRANCO: $20,049 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 FY22 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: JAMES LINDER: $2,020,000 STEPHANIE DAUBERT: $249,441 ANNA CRAMER: $181,320 THERESA FRANCO: $100,547 HARRIS FRANKEL: $237,094 BRIAN LANCASTER: $113,412 JULIE LAZURE: $96,012 THOMAS MACY: $98,257 SUZANNE NUSS: $165,304 BRYCE BRACKLE: $74,461 MICHAEL DONNER: $104,122 MATTHEW E. POSPISIL: $91,932 CORY SHAW: $258,490 FRANK VENUTO: $169,561 KYLE SKIERMONT: $37,572 JANA DANIELSON: $80,677 FRANK S. LOCOCO: $82,650 DAVID W. MERCER: $178,012 DEBRA J. ROMBERGER: $174,725 MICHAEL A. ASH: $251,286 JENNIFER BARTHOLOWMEW: $67,128 TAMMY WINTERBOER: $78,300 GERALYNNE SCHMID: $79,100 A HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE 521440796 259230MV9 2016-08-23 157493093 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 24965000 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 43014505 0 50000000 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 true true false 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 Bruce Grewcock Kiewit Construction, Chair 2295789 Construction Services false James T Canedy Wife is Employee 68567 Employment false Form 990, Part III, Line 4d Description of other program services (Expenses $ 826,950,668 including grants of $ 107,002,097)(Revenue $ 698,164,657) 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 700 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 MORE THAN TWO YEARS INTO THE PANDEMIC. 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 FY22 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 * UNIVERSAL MASKING AND PERSONAL PROTECTIVE EQUIPMENT POLICIES FOR STAFF AND PATIENTS * CONTINUED TO REQUIRE COVID-19 VACCINATION FOR STAFF * 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 * ACQUIRED HEARTLAND HEMATOLOGY & ONCOLOGY IN KEARNEY, NEBRASKA. * BEGAN CONSTRUCTION OF PHARMACY HUB IN OMAHA TO IMPROVE EFFICIENCY OF DISTRIBUTION OF PRESCRIPTIONS TO NEBRASKA MEDICINE'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 * CONTINUING CONSTRUCTION OF CLINICAL FACILITIES AT VILLAGE POINTE HEALTH CENTER IN WEST OMAHA, INCREASING SERVICES AND ACCESS FOR PATIENTS * EXPANSION OF FAST PASS PROGRAM, WHICH ALLOWS PATIENTS TO BE NOTIFIED OF APPOINTMENT CANCELLATIONS AND BE SEEN BY PROVIDERS AS OPENINGS ARE AVAILABLE * CONSTRUCTION AND ONGOING DESIGN FOR INNOVATION DESIGN UNIT, A PATIENT CARE UNIT THAT WILL BE USED TO PILOT INNOVATIVE CARE DELIVERY AND TECHNOLOGY IN FY22, NEBRASKA MEDICAL CENTER EARNED THE FOLLOWING: * NAMED BEST HOSPITAL IN NEBRASKA BY U.S. NEWS AND WORLD REPORT FOR THE 11TH CONSECUTIVE YEAR * NAMED ONE OF THE TOP TEN TRUSTED HEALTH SYSTEMS BY THE AMERICAN HOSPTIAL ASSOCIATION * NAMED AS ONE OF NEWSWEEK'S WORLD'S BEST HOSPITALS 2022 * NAMED AS ONE OF NEWSWEEK'S BEST MATERNITY HOSPITALS 2022 * NAMED AS ONE OF NEWSWEEK'S BEST SMART HOSPTIALS 2022 * RECOGNIZED BY FORBES AS ONE OF THE TOP TEN BEST EMPLOYERS IN NEBRSAKA FOR THE FOURTH CONSECUTIVE YEAR * TRAINING MAGAZINE'S TOP 100 COMPANIES FOR TRAINING PROGRAMS AWARD Form 990, Part III, Line 4d Description of other program services (Expenses $ 156,336,713 including grants of $ 34,647,457)(Revenue $ 178,483,780) 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, and 13 lung transplants were performed during 2022. In the year ended June 30, 2022, TNMC performed 295 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: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All Other Revenue - Total Revenue: 24499979, Related or Exempt Function Revenue: 23056571, Unrelated Business Revenue: 1443408, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Investment in Clarkson College - 4649608; Net Assets Released - -1665847; Equity Change - -234453; Other - 44712; BELLEVUE MEDICAL CENTER 2500 Bellevue Medical Center Drive BELLEVUE NE 68123 204305186 ACUTE CARE NE 106425609 204243382 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 390852 30187818 1 true NEBRASKA HEALTH PARTNERS INC 988145 NEBRASKA MEDICAL CENTER Omaha NE 681988145 470816463 MGMT NE TNMC C Corporation 13435426 4173986 1 true false true false true false false false false false true false true true true true true true false false Clarkson College B 14187030 Book Clarkson College J 16175698 Book Clarkson College L 3700883 Book Nebraska Health Partners O 2125233 Book