THE NEBRASKA MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: THE NEBRASKA MEDICAL CENTER (EIN 91-1858433)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-10
IRS object ID: 202001929349302025
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-10T13:34:16-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1212 North 96th Street Suite 300	AddressLine1Txt
City	Omaha	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	911858433	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Nebraska Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KAREN KERSTETTER	InCareOfNm
Business Name Control	NEBR	BusinessNameControlTxt
Phone	4025594000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	988145 NEBRASKA MEDICAL CENTER	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	681988145	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE DAUBERT	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4025594000	PhoneNum
Signature	2020-07-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DONALD NEAL JR	PreparerPersonNm
PTIN	P00798244	PTIN
Phone	4023481450	PhoneNum
Preparation	2020-07-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.206.0.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	47006120201925000002	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-10	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B3D39BAE449679459B48A0C30762FBC339990D2C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	65CF9D49F64C2267637B54237ED8CC7527705457	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEPHANIE DAUBERT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	987400 NEBRASKA MEDICAL CENTER	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	681987400	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,500,200,068	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nebraskamed.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	Lead the world in transforming lives to create a healthy future for individuals & communities through premier educational programs, innovative research & extraordinary patient care	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	10153	TotalEmployeeCnt
Total Volunteers	577	TotalVolunteersCnt
Total Gross UBI	$3,878,292	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,800,358	PYContributionsGrantsAmt
CY Contributions Grants	$17,498,328	CYContributionsGrantsAmt
PY Program Service Revenue	$1,253,062,354	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,368,766,590	CYProgramServiceRevenueAmt
PY Investment Income	$12,892,665	PYInvestmentIncomeAmt
CY Investment Income	$21,742,912	CYInvestmentIncomeAmt
PY Other Revenue	$67,816,814	PYOtherRevenueAmt
CY Other Revenue	$90,875,419	CYOtherRevenueAmt
PY Total Revenue	$1,341,572,191	PYTotalRevenueAmt
CY Total Revenue	$1,498,883,249	CYTotalRevenueAmt
PY Grants And Similar Paid	$240,665,456	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$294,860,140	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$465,959,505	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$512,000,793	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$26,199	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$17,508	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$791,083	CYTotalFundraisingExpenseAmt
PY Other Expenses	$576,475,561	PYOtherExpensesAmt
CY Other Expenses	$648,437,522	CYOtherExpensesAmt
PY Total Expenses	$1,283,126,721	PYTotalExpensesAmt
CY Total Expenses	$1,455,315,963	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,445,470	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$43,567,286	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,438,973,391	TotalAssetsBOYAmt
Total Assets EOY	$1,518,041,391	TotalAssetsEOYAmt
Total Liabilities BOY	$564,917,572	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$563,684,281	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$874,055,819	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$954,357,110	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION IS TO LEAD THE WORLD IN TRANSFORMING LIVES TO CREATE A HEALTHY FUTURE FOR INDIVIDUALS & COMMUNITIES THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH, & EXTRAORDINARY PATIENT CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$239,820,548	ExpenseAmt
Grant	$30,364,737	GrantAmt
Revenue	$291,658,815	RevenueAmt
Desc	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 UNMC CAMPUS. 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, SUVIVORSHIP GROUPS, GENETIC COUNSELING, AND A VARIETY OF ADDITIONAL PATIENT SUPPORTIVE SERVICES. IN JUNE 2017, TNMC OPENED THE FRED & PAMELA BUFFETT CANCER CENTER. THE CENTER IS JOINTLY OWNED WITH UNMC AND 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 ALSO OPERATES CANCER TREATMENT LOCATIONS IN BELLEVUE, IN WEST OMAHA AT ITS VILLAGE POINTE LOCATION, AND IN SHENANDOAH, IOWA. IN ADDITION, AS ONE OF THE BUSIEST PROGRAMS IN THE WORLD, THE BONE MARROW TRANSPLANTATION PROGRAM SERVED 189 PATIENTS IN THE YEAR ENDED JUNE 30, 2019. A 24/7 EMERGENCY AND EVALUATION TREATMENT CENTER IS DEDICATED TO CANCER AND TRANSPLANT PATIENTS. THE PROGRAM BENEFITS FROM THE RESEARCH CONDUCTED ON TNMC/UNMC CAMPUS. 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 OF 2017. IN AUGUST OF 2018, THE THERAPY WAS EXTENDED TO LEUKEMIA PATIENTS. IN 2019, MULTIPLE MEYELOMA PATIENTS BEGAN RECEIVING THE THERAPY. DURING FISCAL YEAR 2019, THE ONCOLOGY SERVICE LINE TREATED 122,090 CASES AND 30,464 PATIENT DAYS. APPROXIMATELY 40% OF THE NET REVENUE WAS DERIVED FROM INPATIENT CASES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$160,212,669	ExpenseAmt
Grant	$19,477,740	GrantAmt
Revenue	$192,589,286	RevenueAmt
Desc	HEART AND VASCULAR SERVICE LINE TNMC PROVIDES A WIDE RANGE OF CARDIOVASCULAR SERVICES FROM DIET COUNSELING TO SURGICAL PROCEDURES AND REHABILITATION. 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 OF 2017 PERFORMED THE STATE'S FIRST EVER HEART AND LUNG TRANSPLANT. IN THE YEAR ENDED JUNE 30, 2019, TNMC PERFORMED 6 LUNG TRANSPLANTS. THE CONGESTIVE HEART FAILURE PROGRAM AND ACUTE MYOCARDIAL INFARCTION PROGRAM EACH RECEIVED THE GOLD SEAL OF APPROVAL CERTIFICATION FROM AMERICAN HEART ASSOCIATION AND ARE CERTIFIED BY THE JOINT COMMISSION. THESE SERVICES ARE THE FIRST AND 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. THE NEBRASKA MEDICAL CENTER 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 ARTIFICIALS HEARTS. TNMC TREATS PATIENTS FROM THE SURROUNDING REGION AND IN THE YEAR ENDED JUNE 30, 2019, 819 OPEN HEART SURGERIES WERE PERFORMED INCLUDING: 35 HEART TRANSPLANTS, AND 44 MECHANICAL CIRCULATORY SYSTEMDEVICE IMPLANTATIONS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$136,671,158	ExpenseAmt
Grant	$20,950,283	GrantAmt
Revenue	$176,418,652	RevenueAmt
Desc	DIGESTIVE DISEASE & 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 OF 2016 AND PERFORMED 9 LUNG TRANSPLANTS DURING 2019. IN THE YEAR ENDED JUNE 30, 2019, TNMC PERFORMED 279 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) CAMPUS. SINCE ITS INCEPTION, PATIENTS HAVE COME TO TNMC FOR SINGLE OR MULTIPLE ORGAN TRANSPLANTS FROM ALL 50 STATES AND FIVE CONTINENTS. DURING FISCAL YEAR 2019, THE SOLID ORGAN TRANSPLANTATION SERVICE LINE INCURRED 110,680 CASES AND 29,458 PATIENT DAYS. APPROXIMATELY 67% OF THE REVENUE WAS DERIVED FROM INPATIENT CASES. 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, AND 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. BESIDES SEVERAL 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 MEDICINE - NEBRASKA MEDICAL CENTER, AND NEBRASKA MEDICINE - BELLEVUE. TNMC ALSO OPERATES 40 SPECIALTY AND PRIMARY CARE CLINICS IN OMAHA AND SURROUNDING AREAS. TNMC ALSO HAS ONE OF THE FEW BIOCONTAINMENT UNITS IN THE UNITED STATES EQUIPPED TO SAFELY CARE FOR THOSE EXPOSED TO HIGHLY CONTAGIOUS, DANGEROUS DISEASES. IN SEPTEMBER, OCTOBER, AND NOVEMBER OF 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. 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. IN 2020, TNMC AND UNMC WILL OPEN THE NATIONAL CENTER FOR HEALTH SECURITY AND BIOPREPAREDNESS, AS A PART OF THE DAVIS GLOBAL CENTER FOR ADVANCED INTERPROFESSIONAL LEARNING. THIS CENTER WILL BE THE NEXT STEP IN PROVIDING TRAINING ON HOW TO HANDLE HIGHLY INFECTIOUS DISEASES, ALONG WITH A QUARANTINE FACILITY FOR THOSE POSSIBLY INFECTED BY SUCH DISEASES. TNMC ALSO FURTHER SOLIDIFIED ITS ROLE AS A REGIONAL LEADER IN TRAUMA CARE WITH THE ESTABLISHMENT OF ITS 24/7 TRAUMA PROGRAM IN AUGUST OF 2014. IN FYE 2017, TNMC BECAME CERTIFIED AS A LEVEL I TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS, EARNING THE GOLD STANDARD FOR TRAUMACARE NATIONWIDE. IN 2016, TNMC OPENED THE LAURITZEN OUTPATIENT CENTER ON ITS CAMPUS. THE CENTER PROVIDES ADDITIONAL SPACE FOR CLINCIAL, RESEARCH AND EDUCATIONAL AREAS. THE FRITCH SURGERY CENTER, AS PART OF THIS NEW BUILDING, PROVIDES OUTPATIENT SURGERY PROCEDURES. THE ORGANIZATION CONTINUES ITS COMMITMENT TO PROVIDING CONVENIENT, COMPREHENSIVE CARE IN OMAHA AND THE SURROUNDING COMMUNITIES. IN JULY 2018, A NEW HEALTH CENTER OPENED AT THE UNIVERSITY OF NEBRASKA - LINCOLN, WITH PRIMARY CARE, COUNSELING, PHARMACY, DENTAL, NUTRITION, LAB AND RADIOLOGY, AMONG OTHER SERVICES, FOR STUDENTS OF THE UNIVERSITY. A NEW DERMATOLOGY CLINIC LOCATED ON THE NEBRASKA MEDICAL CENTER CAMPUS OPENED IN SUMMER 2018. IT ADDRESSES A SHORTAGE OF SERVICES IN THE STATE, WITH NEBRASKA HAVING ONE OF THE LOWEST RATIOS OF DERMATOLOGISTS PER RESIDENTS IN THE COUNTRY. IN DECEMBER 2018, THE FONTENELLE HEALTH CENTER, NOW LOCATED AT 5005 AMES AVENUE, WAS RELOCATED TO BETTER SERVE THE NORTH OMAHA COMMUNITY. THE NEBRASKA MEDICAL CENTER OUTPATIENT PHARMACY, LOCATED IN THE DURHAM OUTPATIENT CENTER WAS RENOVATED AND TRIPLED ITS PREVIOUS SIZE. THE NEW SPACE OPENED IN JANUARY 2019. IN MARCH 2019, CLARKSON FAMILY MEDICINE MOVED ITS PRACTICE TO THE NEWLY OPENED Nebraska Medicine OLD MARKET HEALTH CENTER IN DOWNTOWN OMAHA AT 13TH & LEAVENWORTH STREETS. IN FY19, NEBRASKA MEDICAL CENTER EARNED THE FOLLOWING CERTIFICATIONS: - Magnet designation from the American Nurses Credentialing Center - 14 Nebraska Medicine primary care clinics RECOGNIZED as Level III patient-centered medical homes, the highest quality level of achievement FROM The National Committee for Quality Assurance (NCQA) recognized - full accreditation as a Chest Pain Center with Primary PCI (percutaneous coronary intervention) from the American College of Cardiology - LUNG TRANSPLANT PROGRAM CERTIFICATION FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES - SAFE SLEEP DESIGNATION FROM THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES - Stage 7 designation, the highest certification for electronic medical record adoption, FOR INPATIENT AND OUTPATIENT PRIMARY CARE FROM THE Health Information and Management System Society	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$175,184,869	$21,983,534	$199,936,390	NEUROSCIENCES
$736,282,464	$202,083,846	$508,163,447	OTHER PROGRAM SERVICES

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$911,467,333	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$224,067,380	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$708,099,837	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,448,171,708	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	326	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	10153	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KAREN KERSTETTER	PersonNm
Phone	4025523278	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	988145 NEBRASKA MEDICAL CENTER	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	681988145	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jeffrey Gold
DIRECTOR (CHAIRMAN)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Mogens Bay
DIRECTOR (VICE CHAIRMAN)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Bruce Grewcock
DIRECTOR (TREASURER)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
James Linder
SEC THRU 8/18; CEO BEG 8/18	45.0	10.0	Yes (X)	Yes (X)	$348,011	$0	$4,170
Nancy Keegan
Secretary (Start 10/2/2018)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Louis W Burgher
Director	40.0	1.0	Yes (X)		$207,328	$0	$9,846
James T Canedy
Director	1.0	2.0	Yes (X)		$0	$0	$0
Lance M Fritz
Director	1.0	2.0	Yes (X)		$0	$0	$0
Eric K Keen
Director	1.0	2.0	Yes (X)		$0	$0	$0
James E McClurg
Director	1.0	2.0	Yes (X)		$0	$0	$0
DEBRA ROMBERGER
Director	30.0	30.0	Yes (X)		$0	$484,540	$28,750
DAVID W MERCER
Director	30.0	30.0	Yes (X)		$0	$576,594	$30,622
Carl V Smith
Director (thru 10/2/2018)	30.0	30.0	Yes (X)		$0	$575,473	$24,012
Stephanie R Daubert
Officer-NM CFO	45.0	10.0		Yes (X)	$703,778	$0	$36,422
Daniel DeBehnke
Officer-NM CEO (Thru 8/8/2018)	45.0	10.0		Yes (X)	$1,607,237	$0	$20,634
Suzanne Nuss
Chief Nursing Officer	45.0	10.0			$453,186	$0	$44,836	Yes (X)
Cory D Shaw
Chief Operations Officer	45.0	10.0			$757,107	$0	$45,298	Yes (X)
Harris A Frankel
Chief Medical Officer	10.0	45.0			$0	$693,408	$25,944	Yes (X)
Theresa Franco
Cancer Ctr/Rad/Imag Svcs VP	55.0	0.0			$410,175	$0	$40,457	Yes (X)
Julie Lazure
Acute Care/Path Svcs VP	55.0	0.0			$360,578	$0	$41,274	Yes (X)
Thomas C Macy
Amb Clinics/Clinical Prog VP	55.0	0.0			$383,159	$0	$42,055	Yes (X)
Matthew E Pospisil
Periop Svs/Bellevue VP	55.0	0.0			$312,069	$0	$42,231	Yes (X)
Frank V Venuto
Chief Human Capital Officer	45.0	10.0			$500,834	$0	$38,773	Yes (X)
Michael A Ash
EVP/Chief Transformation Ofc	30.0	30.0			$0	$711,678	$27,463	Yes (X)
Brian J Lancaster
Information Technology VP	30.0	30.0			$376,042	$0	$19,425	Yes (X)
Anna Cramer
Chief Legal Officer	45.0	10.0			$299,507	$0	$1,005	Yes (X)
Chadwick Brough
Chief Experience Officer	55.0	0.0			$475,569	$0	$28,653		Yes (X)
Frank S Lococo
Corp Marketing & Comm VP	55.0	0.0			$323,479	$0	$476		Yes (X)
Isaac J Berg
Staff Physician-Primary	55.0	0.0			$331,709	$0	$24,092		Yes (X)
Jennifer L Brown
Staff Physician-Primary	55.0	0.0			$354,075	$0	$24,405		Yes (X)
Jian Zhao
Faculty Physician	55.0	0.0			$332,102	$0	$868		Yes (X)
Dennis D Bierle
System Clinical Operations COO	0.0	0.0			$449,501	$0	$15,175			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,985,446	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,041,693	TotReportableCompRltdOrgAmt
Total Other Compensation	$616,886	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	731	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CARDINAL HEALTH INC
5840 F STREET	OMAHA	NE	68117	MANAGEMENT FEE	$7,793,858
SODEXO CTM INC
7100 COMMERCE WAY STE 280	BRENTWOOD	TN	37027	SERVICE CONTRACT	$7,501,256
UNMC
986900 NEBRASKA MEDICAL CENTER	OMAHA	NE	68198	MEDICAL SERVICES	$5,366,732
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	ONE CHART	$5,071,127
HURON CONSULTING SERVICES LLC
3005 Momentum Place	CHICAGO	IL	60689	Mgmt Consulting	$4,037,125

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	57	CntrctRcvdGreaterThan100KCnt
Government Grants	$3,622,923	GovernmentGrantsAmt
All Other Contributions	$13,875,405	AllOtherContributionsAmt
Total Contributions	$17,498,328	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Oncology & BMT	900099	$291,658,815	$291,658,815
Cardiovascular	900099	$192,589,286	$192,589,286
Neurosciences	446110	$199,936,390	$199,936,390
Digestive Disease & Kidney	900099	$176,418,652	$176,418,652
Other Surgery	900099	$108,627,680	$108,627,680

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$399,535,767	TotalRevenueColumnAmt
Related Or Exempt Func Income	$399,535,767	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,368,766,590	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,223,294	TotalRevenueColumnAmt
Exclusion	$21,223,294	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,643,715	RealAmt
Personal	$77,697	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,643,715	RealAmt
Personal	$77,697	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,721,412	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,408,274	UnrelatedBusinessRevenueAmt
Exclusion	$1,313,138	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,536,417	SecuritiesAmt
Other	$300,020	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,110,456	SecuritiesAmt
Other	$206,363	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$425,961	SecuritiesAmt
Other	$93,657	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$519,618	TotalRevenueColumnAmt
Exclusion	$519,618	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY SERVICES	900099	$62,968,815	$62,965,257	$3,558
LAB ADMINISTRATION	900099	$12,387,103	$12,387,103
ONE CHART PRACTICE	900099	$7,736,434	$7,736,434

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,061,655	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,595,195	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,466,460	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$88,154,007	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,498,883,249	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,454,450,579	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,878,292	UnrelatedBusinessRevenueAmt
Exclusion	$23,056,050	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$218,663,881	TotalAmt
Program Services	$218,663,881	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$76,196,259	TotalAmt
Program Services	$76,196,259	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,138,395	TotalAmt
Program Services	$785,223	ProgramServicesAmt
Management And General	$6,353,172	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$396,239,600	TotalAmt
Program Services	$395,986,995	ProgramServicesAmt
Fundraising	$252,605	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$46,804,280	TotalAmt
Program Services	$46,783,290	ProgramServicesAmt
Fundraising	$20,990	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,427,152	TotalAmt
Program Services	$32,403,746	ProgramServicesAmt
Fundraising	$23,406	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,391,366	TotalAmt
Program Services	$29,371,792	ProgramServicesAmt
Fundraising	$19,574	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,466,088	TotalAmt
Program Services	$1,466,088	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$429,261	TotalAmt
Program Services	$429,261	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$85,221	TotalAmt
Program Services	$85,221	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$17,508	TotalAmt
Fundraising	$17,508	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$469,163	TotalAmt
Program Services	$469,163	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,496,359	TotalAmt
Program Services	$41,088,161	ProgramServicesAmt
Fundraising	$408,198	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,583,836	TotalAmt
Program Services	$5,583,836	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,046,396	TotalAmt
Program Services	$6,043,377	ProgramServicesAmt
Fundraising	$3,019	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$24,571,624	TotalAmt
Program Services	$24,529,141	ProgramServicesAmt
Fundraising	$42,483	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,385,164	TotalAmt
Program Services	$30,385,164	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,257,118	TotalAmt
Program Services	$1,257,118	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$707,742	TotalAmt
Program Services	$707,742	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,566,323	TotalAmt
Program Services	$8,566,323	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$77,337,845	TotalAmt
Program Services	$77,334,681	ProgramServicesAmt
Fundraising	$3,164	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,158,889	TotalAmt
Program Services	$5,158,889	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Pharmacy & Medical Supplies	$383,677,437	$383,677,437
Contracted Services	$41,560,617	$41,560,617
REPAIRS AND MAINTENANCE	$8,437,055	$8,437,055
Affiliated Agreements	$1,644,510	$1,644,510

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,556,874	TotalAmt
Program Services	$9,556,738	ProgramServicesAmt
Fundraising	$136	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,455,315,963	TotalAmt
Program Services	$1,448,171,708	ProgramServicesAmt
Management And General	$6,353,172	ManagementAndGeneralAmt
Fundraising	$791,083	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,118,022	BOYAmt
EOY	$17,702,481	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$410,035,753	BOYAmt
EOY	$450,611,202	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,230,082	BOYAmt
EOY	$5,968,920	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$243,856,854	BOYAmt
EOY	$264,750,117	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,146,593	BOYAmt
EOY	$2,688,492	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,169,814	BOYAmt
EOY	$9,704,032	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$35,660,767	BOYAmt
EOY	$49,816,976	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,459,722,363	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$823,389,471	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$624,416,111	BOYAmt
EOY	$636,332,892	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$43,962,393	BOYAmt
EOY	$47,182,812	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$21,073,262	BOYAmt
EOY	$23,978,485	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$18,303,740	BOYAmt
EOY	$9,304,982	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,438,973,391	BOYAmt
EOY	$1,518,041,391	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$200,273,030	BOYAmt
EOY	$212,217,100	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$13,835,444	BOYAmt
EOY	$16,590,928	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$294,175,509	BOYAmt
EOY	$288,199,513	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,009,990	BOYAmt
EOY	$10,396,957	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$50,623,599	BOYAmt
EOY	$36,279,783	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$564,917,572	BOYAmt
EOY	$563,684,281	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$857,744,668	BOYAmt
EOY	$934,559,700	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,651,902	BOYAmt
EOY	$17,138,061	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,659,249	BOYAmt
EOY	$2,659,349	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$874,055,819	BOYAmt
EOY	$954,357,110	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,438,973,391	BOYAmt
EOY	$1,518,041,391	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$43,567,286	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,722,766	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$31,011,239	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$85,221	OtherActivitiesAmt
Total Lobbying Expenditures	$85,221	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSES THIS AMOUNT CONSISTS OF HOSPITAL LOBBYING DUES PAID THROUGH ANNUAL DUES OF THE NATIONAL AND STATE HOSPITAL ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp

Held Works Art HeldWorksArtGrp

Field	Value	IRS element (for citing)
Assets Included	$819,284	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	false	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,850,984	BeginningYearBalanceAmt
Contributions	$1,863,357	ContributionsAmt
Investment Earnings Or Losses	$1,457,066	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,373,999	OtherExpendituresAmt
End Year Balance	$19,797,408	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,989,461	BeginningYearBalanceAmt
Contributions	$1,044,460	ContributionsAmt
Investment Earnings Or Losses	$482,671	InvestmentEarningsOrLossesAmt
Other Expenditures	$665,608	OtherExpendituresAmt
End Year Balance	$17,850,984	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$34,360,380	BeginningYearBalanceAmt
Contributions	$451,767	ContributionsAmt
Investment Earnings Or Losses	$792,128	InvestmentEarningsOrLossesAmt
Other Expenditures	$18,614,814	OtherExpendituresAmt
End Year Balance	$16,989,461	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,773,235	BeginningYearBalanceAmt
Contributions	$22,709,595	ContributionsAmt
Investment Earnings Or Losses	$342,375	InvestmentEarningsOrLossesAmt
Other Expenditures	$464,825	OtherExpendituresAmt
End Year Balance	$34,360,380	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,403,086	BeginningYearBalanceAmt
Contributions	$529,283	ContributionsAmt
Investment Earnings Or Losses	$386,414	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,545,548	OtherExpendituresAmt
End Year Balance	$11,773,235	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.13000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.87000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,201,136	OtherCostOrOtherBasisAmt
Book Value	$14,201,136	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$355,077,200	OtherCostOrOtherBasisAmt
Depreciation	$132,747,615	DepreciationAmt
Book Value	$222,329,585	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,066,969	OtherCostOrOtherBasisAmt
Depreciation	$12,091,986	DepreciationAmt
Book Value	$19,974,983	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,042,339,449	OtherCostOrOtherBasisAmt
Depreciation	$672,820,956	DepreciationAmt
Book Value	$369,518,493	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,037,609	OtherCostOrOtherBasisAmt
Depreciation	$5,728,914	DepreciationAmt
Book Value	$10,308,695	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$636,332,892	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
THIRD PARTY PAYOR SETTLEMENT	$16,073,035
OTHER CLAIMS PAYABLE	$12,333,285
DUE TO AFFILIATES	$6,418,145
OTHER LONG-TERM LIABILITIES	$1,455,318

Field	Value	IRS element (for citing)
Total Liability	$36,279,783	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part III, Line 4	DESCRIPTION OF ART COLLECTION THE HOSPITAL DISPLAYS ITS COLLECTION OF ART THROUGHOUT THE WALLS OF THE ORGANIZATION. IT IS A COLLECTION OF IMAGES & PORTRAITS TAKEN OF VARIOUS CULTURES AROUND THE WORLD & PORTRAYS THE HOSPITAL'S CULTURE OF PROVIDING MEDICAL CARE TO PEOPLE OF ALL CULTURES.
Schedule D, Part V, Line 4	ENDOWMENT FUNDS THE MAJORITY OF THE ENDOWMENT FUNDS HELD BY THE HOSPITAL ARE HELD IN ORDER TO EARN INTEREST IN ORDER TO PROVIDE SCHOLARSHIPS OR EDUCATION FOR EMPLOYEES OF THE HOSPITAL OR FOR PATIENT NEEDS/EXPERIENCE. THE TERM ENDOWMENT FUNDS INCLUDE CHARITABLE GIFT ANNUITIES. THE CONTRIBUTIONS WERE MADE TO THE HOSPITAL AND INTEREST IS PAID BACK TO THE CONTRIBUTOR AS AN ANNUITY UNTIL THE TIME OF THEIR PASSING. WHEN THIS OCCURS, THE BALANCE OF THE ANNUITY IS NO LONGER ENDOWED.
Schedule D, Part X, Line 2	FIN 48 FOOTNOTE NMC 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, 2019 OR 2018.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt
All amounts under 5000
Grant Writing	false
University of Nebraska Foundation
Fundraising	false	$1,498,962	$407,059

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,498,962	TotalGrossReceiptsAmt
Total Retained By Contractors	$407,059	TotalRetainedByContractorsAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	7364	PersonsServedCnt
Total Community Benefit Expns	$18,534,547	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,534,547	NetCommunityBenefitExpnsAmt
Total Expense	0.01270	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	121911	PersonsServedCnt
Total Community Benefit Expns	$129,317,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,352,214	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,965,323	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	611	PersonsServedCnt
Total Community Benefit Expns	$711,114	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$379,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$331,359	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	129886	PersonsServedCnt
Total Community Benefit Expns	$148,563,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,731,969	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,831,229	NetCommunityBenefitExpnsAmt
Total Expense	0.03620	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	22428	PersonsServedCnt
Total Community Benefit Expns	$5,421,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,723,140	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,698,582	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	5326	PersonsServedCnt
Total Community Benefit Expns	$51,422,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,994,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,427,220	NetCommunityBenefitExpnsAmt
Total Expense	0.02840	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	21	PersonsServedCnt
Total Community Benefit Expns	$28,600,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,059,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,540,888	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,731,170	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,113,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,617,912	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1337	PersonsServedCnt
Total Community Benefit Expns	$162,554,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$162,554,700	NetCommunityBenefitExpnsAmt
Total Expense	0.11130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	47	ActivitiesOrProgramsCnt
Persons Served	29112	PersonsServedCnt
Total Community Benefit Expns	$251,729,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,890,669	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$213,839,302	NetCommunityBenefitExpnsAmt
Total Expense	0.14640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	47	ActivitiesOrProgramsCnt
Persons Served	158998	PersonsServedCnt
Total Community Benefit Expns	$400,293,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$133,622,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$266,670,531	NetCommunityBenefitExpnsAmt
Total Expense	0.18260	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,508,969	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,508,969	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$40,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,000	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$174,890	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$174,890	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$543	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$543	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	3051	PersonsServedCnt
Total Community Benefit Expns	$517,305	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$517,305	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	3251	PersonsServedCnt
Total Community Benefit Expns	$2,241,707	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,241,707	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$41,028,857	BadDebtExpenseAmt
Reimbursed By Medicare	$236,195,550	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$267,531,106	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$31,335,556	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	NEB ORTHO HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ORTHOPEDIC HOSPITAL	PrimaryActivitiesTxt
Physicians Profit Or Ownership	0.5872	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
THE NEBRASKA MEDICAL CENTER
1	987400 Nebraska Medical Center	Omaha	NE	68198	HTTP://NEBRASKAMED.COM	260011	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
BELLEVUE MEDICAL CENTER
2	2500 Bellevue Medical Center Drive	Bellevue	NE	68123	HTTP://BELLEVUE.NEBRASKAMED.COM	H000115	Yes (X)	Yes (X)		Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GROUP A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Line 5	(CHNA) FOR NEBRASKA MEDICINE (WHICH INCLUDES 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 FOCUS GROUP DISCUSSIONS INCLUDED REPRESENTATION FROM ALL OF THE ASSESSED COUNTIES. FOCUS GROUP PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO PROVIDE INPUT REGARDING VULNERABLE OR MEDICALLY UNDERSERVED POPULATIONS, MINORITIES, AND/OR POPULATIONS WITH CHRONIC DISEASE. ONE HUNDRED SIXTY-THREE COMMUNITY STAKEHOLDERS, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS PARTICIPATED IN FOCUS GROUP SESSIONS. A FULL LIST OF PARTICIPATING KEY INFORMANT FOCUS GROUPS AND THEIR AREAS OF EXPERTISE CAN BE FOUND HERE: HTTPs://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. CHI HEALTH: KELLY NIELSEN - DIRECTOR, COMMUNITY BENEFIT AND HEALTHIER COMMUNITIES DOUGLAS COUNTY HEALTH DEPARTMENT: DR. ADI POUR - HEALTH DIRECTOR LIVE WELL OMAHA: SARAH SJOLIE - EXECUTIVE DIRECTOR METHODIST HEALTH SYSTEM: JEFF PROCHASKA - DIRECTOR, STRATEGIC PLANNING SARPY/CASS COUNTY HEALTH DEPARTMENT: SARAH SCHRAM - HEALTH DIRECTOR NEBRASKA MEDICINE (TNMC and BMC): BECKY JACKSON, DIRECTOR, PATIENT & COMMUNITY ENGAGEMENT VISITING NURSES ASSOCIATION/POTTAWATTAMIE COUNTY: KRIS STAPP - VICE PRESIDENT, COMMUNITY HEALTH SERVICE CHARLES DREW HEALTH CENTER: KENNY MCMORRIS, CHIEF EXECUTIVE OFFICER OMAHA COMMUNITY FOUNDATION: KALI BAKER, VICE PRESIDENT OF COMMUNITY RELATIONS ONEWORLD COMMUNITY HEALTH CENTERS: ANDREA SKOLKIN, CHIEF EXECUTIVE OFFICER UNITED WAY OF THE MIDLANDS: MARIEL HARDING, DIRECTOR, COMMUNITY IMPACT
Schedule H, Part V, Line 6a & 6b	THE CHNA WAS CONDUCTED WITH OTHER HOSPITAL AND COMMUNITY BASED FACILITIES AS LISTED BELOW: THE NEBRASKA MEDICAL CENTER AND BELLEVUE MEDICAL CENTER CHI HEALTH METHODIST HEALTH SYSTEM DOUGLAS, SARPY, CASS AND POTTAWATTAMIE COUNTY HEALTH DEPARTMENTS LIVE WELL OMAHA
Schedule H, Part V, Line 7b	HTTP://WWW.DOUGLASCOUNTYHEALTH.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINE 7A & 10A HTTP://WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT
Schedule H, Part V, Line 11	NEBRASKA MEDICINE HAS CURRENT PROGRAMS AND SERVICES IN PLACE TO ADDRESS EACH OF THE ELEVEN 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 INJURY & VIOLENCE PREVENTION, MENTAL HEALTH AND ACCESS TO HEALTHCARE SERVICES. 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 MET WITH THE OTHER LOCAL HEALTH SYSTEMS AND COUNTY HEALTH DEPARTMENTS TO DISCUSS THE CHNA-IDENTIFIED COMMUNITY NEEDS AND LOOK FOR OPPORTUNITIES TO COLLABORATE. THE IDENTIFIED NEEDS NOT BEING ADDRESSED BY NEBRASKA MEDICINE ARE IDENTIFIED AS CANCER, NUTRITION, PHYSICAL ACTIVITY & WEIGHT, SUBSTANCE ABUSE, DIABETES, HEART DISEASE & STROKE, DEMENTIA INCLUDING ALZHEIMER'S DISEASE, RESPIRATORY DISEASES AND SEXUALLY TRANSMITTED DISEASES. EACH OF THESE REMAINING CHNA-IDENTIFIED NEEDS ARE BEING ADDRESSED BY ONE OF THE OTHER COMMUNITY HEALTH SYSTEMS, LOCAL UNIVERSITY 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: HTTP://WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT IMPLEMENTATION STRATEGY PLAN UPDATE NEBRASKA MEDICINE'S FISCAL 2016-2019 CHNA AND IMPLEMENTATION PLANNING CYCLE IDENTIFIED ELEVEN SIGNIFICANT HEALTH NEEDS, FOUR OF WHICH WERE PRIORITIZED FOR THE PLANNING PERIOD: (1)CANCER, (2)INJURY AND VIOLENCE PREVENTION, (3)MENTAL HEALTH AND (4)ACCESS TO HEALTHCARE SERVICES. BELOW ARE SOME HIGHLIGHTS ON THE PROGRESS OF THE 2016-2019 PLAN: - ESTABLISHED 4 IMMEDIATE CARE CLINIC LOCATIONS THROUGHOUT THE METRO AREA. - HELPED SECURE HEALTH INSURANCE AND NAVIGATION OF THE HEALTHCARE MARKETPLACE TO OVER 6,180 INDIVIDUALS OVER THE THREE YEAR PERIOD. - INVESTED OVER $200,000 IN SERVERAL NON-PROFIT PARTNERS TO CONNECT UNDERSERVED CANCER PATIENTS TO COMMUNITY RESOURCES. - INCREASED THE NUMBER OF MENTAL HEALTH PROVIDERS FOR OUTPATIENT CARE WITHIN THE THREE YEAR PERIOD. - TRAINED OVER 1,549 INDIVIDUALS IN THE STOP THE BLEED CAMPAIGN TO BUILD A TRAUMA-INFORMED COMMUNITY OVER THE THREE YEAR PERIOD. DURING FISCAL YEAR 2019, THE NEXT CHNA WAS CONDUCTED TO MEET THE 2019-2022 TIMELINE. NEBRASKA MEDICINE'S 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 ON THE PROGRESS OF THE 2019-2022 PLAN. - INCREASE AVAILABILITY/ACCESSIBILITY OF DOCTOR APPOINTMENTS AND POINTS OF CARE FOR RESIDENTS OF THE OMAHA METRO AREA, WITH AN ADDITIONAL FOCUS ON EXPANDING CARE FOR POPULATIONS IN NORTHEAST OMAHA - HELP PATIENTS SECURE HEALTH INSURANCE THROUGH ASSISTANCE WITH THE ENROLLMENT PROCESS AND NAVIGATION OF THE HEALTHCARE MARKETPLACE - REDUCE THE NUMBER OF PREVENTABLE DEATHS RELATED TO POISONING, FALLS AND MOTOR VEHICLE ACCIDENTS - PARTICIPATE IN COMMUNITY INITIATIVES TO REDUCE VIOLENT CRIME AND BUILD A TRAUMA INFORMED COMMUNITY - INCREASE THE CAPACITY TO TREAT PATIENTS WITH CO-OCCURING MENTAL HEALTH AND SUBSTANCE USE PROBLEMS
Schedule H, Part V, Section b, Line 13h	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, Line 16a-16c	HTTPS://WWW.NEBRASKAMED.COM/PATIENTS/BILLING/FINANCIAL-COUNSELING
Schedule H, Part V, Section B, Line 16J	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.
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.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	NOT APPLICABLE AS THE ORGANIZATION DOES FOLLOW FPG TO DETERMINE ELIGIBILITY FOR PROVIDING FEE CARE TO LOW INCOME INDIVIDUALS.
Schedule H, Part I, Line 6a	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED AT: HTTP://WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-BENEFIT-REPORT
Schedule H, Part I, Line 7	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 7, COLUMN F THE DENOMINATOR USED TO CALCULATE THE PERCENTAGE IN COLUMN(F) IS FORM 990, PART IX, LINE 25(A).
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 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 III, Line 8	OVERALL MEDICARE PATIENTS PRODUCE A NEGATIVE 13.27% 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	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 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 PERFORMA 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 TNMC AND 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 NMC 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 NMC. 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 NMC 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 NON COMPLIANCE WITH THIS EXPECTATION.
Schedule H, Part VI, Line 4	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 2018 COLLEGE OF PUBLIC HEALTH PROFESSIONS TRACKING ESTIMATED POPULATION FOR THIS LOCAL AREA IS 834,374. THE ESTIMATED RACE BREAKDOWN OF THE POPULATION IS BELOW. WHITE NON-HISPANIC 83.1% BLACK NON-HISPANIC 8.3% SOME OTHER RACE 5.8% MULTIPLE RACES 2.7% THERE ARE ELEVEN HOSPITALS IN NEBRASKA TO SERVE THE LOCAL COMMUNITY. METHODIST HOSPITAL, METHODIST WOMEN'S HOSPITAL, LAKESIDE HOSPITAL, BERGAN MERCY MEDICAL CENTER, MIDLANDS HOSPITAL, CREIGHTON MEDICAL CENTER, CHILDREN'S HOSPITAL, IMMANUEL HOSPITAL, NEBRASKA ORTHOPAEDIC HOSPITAL, THE NEBRASKA MEDICAL CENTER AND BELLEVUE MEDICAL CENTER. THERE ARE FOUR DESIGNATED MEDICALLY UNDERSERVED AREAS IN DOUGLAS COUNTY (THREE AREAS) AND SARPY COUNTY (ONE AREA.)
Schedule H, Part VI, Line 5	COMMUNITY BUILDING ACTIVITIES AND PROMOTION OF HEALTH 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. INCLUDED IN THIS TOTAL ARE THE HOSPITAL'S EFFORTS TO SUPPORT THE MID-AMERICA HOSPITAL ALLIANCE (MAHA); AN ALLIANCE OF RURAL AND CRITICAL ACCESS HOSPITALS IN THE REGION OF WHICH THE HOSPITAL IS A FOUNDING MEMBER. 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 PROVIDE MOCK INTERVIEW TRAINING TO AREA STUDENTS. NMC ALSO PROVIDES JOB SHADOWING OPPORTUNITIES TO UNDERGRADUATE STUDENTS WHO WISH TO EXPLORE THE 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 THE 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 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 AND THE LOCAL CHAMBER OF COMMERCE, THE HOSPITAL'S LEADERSHIP TEAM IS ACTIVE ON COMMUNITY BOARDS. OTHER INFORMATION TNMC IS A NONPROFIT HOSPITAL MEETING THE REQUIREMENTS OF REVENUE RULING 69-545. IN SUMMARY, TNMC OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS WITHOUT REGARD TO ABILITY TO PAY, THE HOSPITAL ALSO HAS A BOARD COMPRISED OF MEMBERS FROM THE COMMUNITY, THEY HAVE AN OPEN MEDICAL STAFF POLICY, THEY ACCEPT PATIENTS PAYING THEIR BILLS WITH MEDICAID AND MEDICARE, AND THEY USE THE SURPLUS OF THEIR FUNDS TO IMPROVE THEIR FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION, AND RESEARCH.
Schedule H, Part VI, Line 6	NEITHER TNMC NOR BMC ARE IN AN AFFILIATED HEALTHCARE SYSTEM.
Schedule H, Part VI, Line 7	TNMC AND BMC FILE A COMMUNITY BENEFIT REPORT WITH THE NEBRASKA HOSPITAL ASSOCIATION ANNUALLY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
American Cancer Society
9850 Nicholas St	Omaha	NE	68114	131788491	501(C)(3)	$26,250	General Support
American Heart Association
10100 J St	Omaha	NE	68127	135613797	501(C)(3)	$25,090	General Support General Support	Ste A
Father Flanagan's Boy Home
13603 Flanagan Blvd	Omaha	NE	68010	470376606	501(C)(3)	$10,000	General Support General Support
Great Plains Colon Cancer
PO Box 3434	Omaha	NE	68103	272123378	501(C)(3)	$6,500	General Support General Support
Greater Omaha Chamber Foundation
1301 Harney St	Omaha	NE	68102	470258610	501(C)(3)	$42,250	General support for clinic operations serving unde General support
Heartland Family Services
2101 S 42nd St	Omaha	NE	68105	470390618	501(C)(3)	$11,000	General Support General support
Hope Medical Outreach Coalition
4920 S 30th St	Omaha	NE	68107	470548990	501(C)(3)	$30,000	General Support General support
JDRF
9202 W Dodge St	Omaha	NE	68114	231907729	501(C)(3)	$7,500	support General support	Ste 304
Leukemia and Lymphoma Society
12100 W Center Rd	Omaha	NE	68154	135644916	501(C)(3)	$15,000	General Support General support	Ste 202
Live Well Omaha
PO Box 31518	Omaha	NE	68131	470834161	501(C)(3)	$10,000	General Support General support
Make a Wish
11926 Arbor St	Omaha	NE	68144	470671096	501(C)(3)	$10,000	General Support General support	Ste 102
March of Dimes
11840 Nicholas St	Omaha	NE	68154	131846366	501(C)(3)	$22,000	General support for lymphoma research and educatio General support
National Safety Council
11620 M Cir	Omaha	NE	68137	470259720	501(C)(3)	$10,000	General Support General support
Nebraska Aids Project
250 S 77th St	Omaha	NE	68114	470786622	501(C)(3)	$10,000	General Support General support	Ste A
Nebraska HOSA
PO Box 94711	Lincoln	NE	68509	454782061	501(C)(3)	$15,000	General support of auxiliary's community efforts General support
Omaha Equestrian Foundation
1004 Farnam St	Omaha	NE	68102	273520778	501(C)(3)	$7,500	General support of society's operations General support	Ste 400
Omaha Symphony
1605 Howard St	Omaha	NE	68102	476039304	501(C)(3)	$6,500	General support of museum operations General support
Professional Research
11326 P St	Omaha	NE	68137	470628654	501(C)(3)	$17,880	General operations and support CHNA
Project Pink'd Inc
4089 S 84th St	Omaha	NE	68127	455212995	501(C)(3)	$7,000	Faculty Support for the University General support	Ste 108
Ronald McDonald House
620 S 38th St	Omaha	NE	68105	470755104	501(C)(3)	$265,700	General support (AAA agreement) General support
Susan G Komen Nebraska
8707 W Center Rd	Omaha	NE	68124	751835298	501(C)(3)	$10,000	General support General support
Team Mates Mentoring
6801 O St	Lincoln	NE	68510	470840990	501(C)(3)	$6,000	General support General support
United Way of the Midlands
1805 Harney St	Omaha	NE	68102	470376605	501(C)(3)	$50,600	General support General Support
Visiting Nurse Foundation
12565 W Center Rd	Omaha	NE	68144	911467848	501(C)(3)	$10,000	Matching Grants General Support	Ste 100
Building Healthy Futures
3555 Farnam St	Omaha	NE	68131	460598062	501(C)(3)	$2,471,451	General support General Support	Ste 222
University of Nebraska - Lincoln
PO Box 830861	Lincoln	NE	68583	470049123	501(C)(3)	$82,041	General support General Support
National Stratigic Research Institute
984238 Nebraska Medical Center	Omaha	NE	68198	455426026	501(C)(3)	$140,913	General support General Support	405 E Main St
Board of Regents - University of Nebraska
3835 Holdrege	Lincoln	NE	68583	470049123	501(C)(3)	$8,000,000	Support the College of Public Health for reducing General support
Clarkson College
101 S 42nd St	Omaha	NE	68131	363649217	501(C)(3)	$5,670,363	Support Operations General support
Clarkson Regional Health Sevices Inc
9300 Underwood Ave	Omaha	NE	68114	470376531	501(C)(3)	$8,000,000	General Support	Ste 110
University of Nebraska Medical Center
986800 NE MED CTR	Omaha	NE	68198	470049123	501(C)(3)	$70,753,736	General support
UNMC Physicians
988145 NE MED CTR	Omaha	NE	68198	470785575	501(C)(3)	$120,865,135	General support

Field	Value	IRS element (for citing)
Total501c3 Org	32	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Financial Assistance (Charity Care)	7364	$73,508,529	Book	Charity Care
Financial Assistance (Renal-Indigent Patients)	24	$975,703	Book	Indigent Dialysis
Financial Assistance (Pharmaceuticals)	5198	$1,712,027	Book	Pharmaceuticals

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule I, Part I, Line 1

REVIEW AND APPROVAL OF CHARITABLE CONTRIBUTIONS THE NEBRASKA MEDICAL CENTER (NMC) HAS A COMMITTEE WHOSE RESPONSIBILITY IS TO REVIEW AND APPROVE OR DISPROVE REQUESTS FOR SPONSORSHIP. THIS COMMITTEE IS COMPRISED OF KEY EXECUTIVES AND OTHER MEMBERS OF THE LEADERSHIP TEAM, AS WELL AS REPRESENTATIVES FROM THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. 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 OUR SPONSORSHIPS AND CHARITABLE CONTRIBUTIONS COMMITTEE FOR CONSIDERATION. THIS COMMITTEE IS COMPRISED OF KEY EXECUTIVES AND OTHER MEMBERS OF THE HOSPITAL LEADERSHIP TEAM. THE COMMITTEE CONSIDERS EACH REQUEST INDIVIDUALLY, AND CONTRIBUTIONS ARE MADE BASED ON THREE PRIMARY OBJECTIVES: 1) TO SUPPORT THE COMMUNITY NEED FOR RESOURCES ADDRESSING NEBRASKA'S LEADING CAUSES OF DEATH; INCLUDING CANCER, STROKE AND HEART DISEASE. 2) TO ALIGN WITH ORGANIZATIONS FURTHERING NMC'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 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 NUMBERS 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, WITH REQUESTS OVER $10,000 BEING SUBMITTED BY MARCH 1 FOR CONSIDERATION IN THE NEXT FISCAL YEAR. GROUPS, PROGRAMS, AND ACTIVITIES NOT SUPPORTED BY NMC: 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 CHAMBERS OF COMMERCE, 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 I, Line 2 Grant Monitoring Procedures 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 nmc are required to follow their 501(c)(3) requirements surrounding the use of funds received.

Schedule I, Part III

AMOUNTS PROVIDED TO PATIENTS ARE DETERMINED BY THE NEBRASKA MEDICAL CENTER'S WRITTEN AND PUBLISHED FINANCIAL ASSISTANCE POLICY.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James Linder
SEC THRU 8/18; CEO BEG 8/18	$343,327	$0	$0	$0	$4,684	$0	$0	$0	$5,624	$0	$353,635	$0	$0	$0
Louis W Burgher
Director	$206,686	$0	$0	$0	$642	$0	$9,846	$0	$0	$0	$217,174	$0	$0	$0
DEBRA ROMBERGER
Director	$0	$318,187	$0	$166,353	$0	$0	$0	$28,750	$0	$2,991	$0	$516,281	$0	$0
DAVID W MERCER
Director	$0	$424,275	$0	$152,319	$0	$0	$0	$30,622	$0	$2,991	$0	$610,207	$0	$0
Carl V Smith
Director (thru 10/2/2018)	$0	$468,763	$0	$106,710	$0	$0	$0	$24,012	$0	$2,991	$0	$602,476	$0	$0
Dennis D Bierle
System Clinical Operations COO	$99,678	$0	$68,373	$0	$281,450	$0	$9,037	$0	$7,135	$0	$465,673	$0	$0	$0
Stephanie R Daubert
Officer-NM CFO	$498,705	$0	$175,208	$0	$29,865	$0	$22,125	$0	$15,377	$0	$741,280	$0	$0	$0
Daniel DeBehnke
Officer-NM CEO (Thru 8/8/2018)	$512,849	$0	$751,005	$0	$343,383	$0	$14,438	$0	$7,520	$0	$1,629,195	$0	$0	$0
Suzanne Nuss
Chief Nursing Officer	$331,376	$0	$111,575	$0	$10,235	$0	$22,131	$0	$24,427	$0	$499,744	$0	$0	$0
Cory D Shaw
Chief Operations Officer	$551,290	$0	$195,704	$0	$10,113	$0	$22,125	$0	$24,177	$0	$803,409	$0	$0	$0
Harris A Frankel
Chief Medical Officer	$0	$511,052	$0	$173,956	$0	$8,400	$0	$23,971	$0	$2,964	$0	$720,343	$0	$0
Theresa Franco
Cancer Ctr/Rad/Imag Svcs VP	$340,407	$0	$68,811	$0	$957	$0	$22,540	$0	$17,917	$0	$450,632	$0	$0	$0
Julie Lazure
Acute Care/Path Svcs VP	$305,816	$0	$53,495	$0	$1,267	$0	$22,126	$0	$21,848	$0	$404,552	$0	$0	$0
Thomas C Macy
Amb Clinics/Clinical Prog VP	$313,312	$0	$68,006	$0	$1,841	$0	$22,131	$0	$19,924	$0	$425,214	$0	$0	$0
Matthew E Pospisil
Periop Svs/Bellevue VP	$261,662	$0	$49,350	$0	$1,057	$0	$22,126	$0	$21,904	$0	$356,099	$0	$0	$0
Frank V Venuto
Chief Human Capital Officer	$366,043	$0	$125,112	$0	$9,679	$0	$14,438	$0	$24,335	$0	$539,607	$0	$0	$0
Michael A Ash
EVP/Chief Transformation Ofc	$0	$504,278	$0	$199,000	$0	$8,400	$0	$27,145	$0	$3,309	$0	$742,132	$0	$0
Brian J Lancaster
Information Technology VP	$304,107	$0	$70,176	$0	$1,759	$0	$0	$0	$19,425	$0	$395,467	$0	$0	$0
Anna Cramer
Chief Legal Officer	$258,603	$0	$36,141	$0	$4,763	$0	$1,005	$0	$1,401	$0	$301,913	$0	$0	$0
Chadwick Brough
Chief Experience Officer	$286,174	$0	$135,392	$0	$54,003	$0	$7,049	$0	$22,601	$0	$505,219	$0	$0	$0
Frank S Lococo
Corp Marketing & Comm VP	$260,214	$0	$62,500	$0	$765	$0	$0	$0	$2,264	$0	$325,743	$0	$0	$0
Isaac J Berg
Staff Physician-Primary	$309,200	$0	$21,761	$0	$748	$0	$0	$0	$29,268	$0	$360,977	$0	$0	$0
Jennifer L Brown
Staff Physician-Primary	$252,145	$0	$101,198	$0	$732	$0	$0	$0	$24,405	$0	$378,480	$0	$0	$0
Jian Zhao
Faculty Physician	$185,711	$0	$146,003	$0	$388	$0	$0	$0	$1,948	$0	$334,050	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a	SEVERANCE PAYMENTS THE FOLLOWING EMPLOYEES WERE TERMED PRIOR TO FISCAL YEAR 2019 AND RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2018: DENNIS BIERLE: $278,919 CHADWICH BROUGH: $47,332 DANIEL DEBEHNKE: $325,410
Schedule J, Part I, Line 4b	NONQUALIFIED RETIREMENT PLANS 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, 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. NO PAYOUT OCCURRED DURING THE YEAR FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO ANY CURRENT AND FORMER* INDIVIDUALS.
Schedule J, Part I, Line 6a	CONTINGENT COMPENSATION 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 SIMILIAR 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 FY19 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: Deborah Romberger: $166,353 Carl V. Smith: $106,710 David W. Mercer: $152,319 Daniel DeBehnke: $751,005 Stephanie Daubert: $175,208 Cory Shaw: $195,704 William Pospisil: $49,350 Theresa Franco: $68,811 Anna L. Cramer: $36,141 Michael A. Ash: $199,000 Thomas Macy: $68,006 Frank Venuto: $125,112 Julie Lazure: $53,495 Isaac J. Berg: $21,761 Jennifer L. Brown: $101,198 Frank S. Lococo: $62,500 Brian J. Lancaster: $70,176 Harris Frankel: $173,956 Chad Brough: $135,392 Suzanne Nuss: $111,575 Dennis Bierle: $68,373 Jian Zhao: $146,003

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
A	521440769	259230MV9	2016-08-23	$157,496,093	CAPITAL PROJECT & REFUND PRIOR LEA	false	false	false
HOSPITAL AUTH NO 1 OF SARPY COUNTY NE
B	470834151	80372PAR7	2016-08-23	$147,968,496	Capital Project & refund prior lea	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$12,070,000	$0	$157,516,214	$0	$0	$0	$0	$0	$0	$115,024,453	$42,491,761	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$147,968,496	$0	$0	$0	$0	$0	$0	$130,156,459	$17,812,037	$0	2016	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.02260	0.02260	false	false	Yes (true)	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.02260	0.02260	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART II, LINE 3, COLUMN A	FormAndLineReferenceDesc
Explanation	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, LINE A, COLUMN (E) DUE TO INVESTMENT EARNINGS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Bruce Grewcock
Kiewit Construction, President	$983,584	Construction Services	false
Stephanie Daubert
NOH, LLC Board Member	$146,246	Services and Supplies	false
James T Canedy
Simply Well Board Member	$938,099	Services and Supplies	false
James T Canedy
Wife is employee	$66,178	Employment	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS 1.) THE SERVICES THAT ARE PROVIDED BY KIEWIT CONSTRUCTION CONSIST OF FEES EARNED ON CONSTRUCTION CONTRACTS FOR PROJECTS THROUGHOUT THE CAMPUS. 2.) THE TRANSACTIONS WITH SIMPLYWELL CONSISTS OF RENTAL INCOME TO NMC FOR THE LEASE OF SPACE AND OTHER INCOME FOR SALE OF SERVICES AND SUPPLIES, SUCH AS PARKING, SUPPLY CHAIN AND PHONE SERVICES. APPROXIMATELY 80% OF THE TOTAL TRANSACTION RELATES TO PAYMENTS TO SIMPLYWELL FOR THE WELLNESS PROGRAM FOR NMC EMPLOYEES. 3.) THE SERVICES PROVIDED TO/FROM NOH LLC ARE COMPRISED OF RENT, SUPPLIES AND SERVICES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4D	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 4 CENTER IN THE REGION AND TREATS PATIENTS FROM THE STATE OF NEBRASKA AND THE REGION. TNMC HAS ONE OF THE FEW MAGNETOENCEPHALOGRAPH (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 GREATLY. IN JULY OF 2018, TNMC OPENED THE TWIN CREEK HEALTH CENTER, A DEDICATED NEUROLOGICAL SCIENCES AMBULATORY CLINIC IN BELLEVUE. 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. DURING FISCAL YEAR 2019, NEUROSCIENCES INCURRED 6,098 INPATIENTS WITH 30,608 PATIENT DAYS AND OVER 151,703 OUTPATIENT BILLING UNITS. APPROXIMATELY 53% OF THE REVENUE WAS DERIVED FROM INPATIENT CASES.
Form 990, Part VI, Line 2	BUSINESS AND FAMILY RELATIONSHIPS MR. BRUCE GREWCOCK AND MR. MOGENS BAY HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP). DR. JAMES T. CANEDY, MS. STEPHANIE DAUBERT AND MR. LOUIS BURGHER HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON REGIONAL HEALTH SERVICES). DR. JAMES T. CANEDY, MR. THOMAS MACY, AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH PARTNERS). DR. LOUIS BURGHER AND DR. JAMES T. CANEDY HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON COLLEGE). DR. JAMES T. CANEDY, MR. DANIEL DEBEHNKE, DR. CARL SMITH AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH NETWORK). DR. JAMES T. CANEDY AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA ORTHOPAEDIC HOSPITAL).
Form 990, Part VI, Line 6	MEMBERS Nebraska Medicine is the sole member of TNMC.
Form 990, Part VI, Line 7a	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	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 990 PRIOR TO FILING 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	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 & 15b	POLICIES - COMPENSATION THE EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE OF THE TNMC 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 TNMC. 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 PHYSICIANS AND SENIOR EXECUTIVES 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. SUCH 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 ARE REPORTED DIRECTLY TO THE COMMITTEE. THE COMMITTEE ENSURES THAT ITS REVIEW AND APPROVAL QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS 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 JUDGMENTS; 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	PUBLIC DISCLOSURE OF DOCUMENTS 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 XI, Line 9	RECONCILIATION OF NET ASSETS INVESTMENT IN CLARKSON COLLEGE $ 5,454,847 CHANGE IN PENSION ACCOUNTS $ 26,967,191 NET ASSETS RELEASED $ (1,412,503) OTHER $ 1,704 _________________ TOTAL $ 31,011,239

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Bellevue Medical Ctr	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 BMC DR	AddressLine1Txt
City	Bellevue	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68123	ZIPCd

Field	Value	IRS element (for citing)
EIN	204305186	EIN
Primary Activities	Acute Care	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd
Total Income	$85,994,894	TotalIncomeAmt
End Of Year Assets	$142,564,364	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NMC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNMC Physicians
988145 NEBRASKA MEDICAL CENTER	OMAHA	NE	68198	470785575	Healthcare	NE	501(C)(3)	Line 3	NM	false
CLARKSON COLLEGE
101 SOUTH 42ND STREET	OMAHA	NE	68131	363649217	COLLEGE	NE	501(C)(3)	LINE 2	TNMC	Yes (true)
Nebraska Medicine
987400 Nebraska Medical Center	Omaha	NE	681987400	813158267	SUPPORT	NE	501(C)(3)	12, Type 1	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
NE HEALTH NETWORK
8511 DODGE RD	OMAHA	NE	68114	271784907	HEALTHCARE	NE	NH PARTNERS	Related	$0	$0	false	false
NC LAB LLC
8303 DODGE ST	OMAHA	NE	68114	461173104	DIAGNOSTIC SVC	NE	NMC	Related	$0	$0	false	Yes (true)	0.25000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
NHS ORTHOPAEDIC SERVICES INC
988145 NEBRASKA MEDICAL CENTER	OMAHA	NE	681988145	470845238	INVESTMENT SVC	NE	NMC	C Corp	$4,040,822	$12,177,998	1.00000	Yes (true)
NEBRASKA HEALTH PARTNERS INC
988145 NEBRASKA MEDICAL CENTER	OMAHA	NE	681988145	470816463	MANAGEMENT	NE	NMC	C Corp	$1,703,495	$2,687,813	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLARKSON COLLEGE
b	$5,610,770	BOOK
CLARKSON COLLEGE
j	$15,936,111	BOOK
CLARKSON COLLEGE
l	$5,290,773	BOOK
NEBRASKA HEALTH PARTNERS
o	$868,896	BOOK