2017-05-15T14:28:20-05:00 2016-06-30 KPMG LLP 1212 North 96th Street Suite 300 Omaha NE 68114 990 2015-07-01 911858433 The Nebraska Medical Center % LINDA SCHOLTING NEBR 4025594000 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 STEPHANIE DAUBERT CFO 4025599789 2017-05-11 true DONALD NEAL JR P00798244 4023481450 2015 2021-01-29 14:40:06Z STEPHANIE DAUBERT 987400 NEBRASKA MEDICAL CENTER OMAHA NE 681987400 1203947948 false X WWW.NEBRASKAMED.COM X 1997 NE LEAD THE WORLD IN TRANSFORMING LIVES TO CREATE A HEALTHY FUTURE FOR INDIVIDUALS & COMMUNITIES THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH & EXTRAORDINARY PATIENT CARE 8 5 8094 621 3669720 275575 9298327 31014498 1001084644 1084649009 11797724 11648530 11705148 67945105 1033885843 1195257142 117920393 174042051 0 0 425362697 431992898 36000 36847 591994 434219893 505716703 977538983 1111788499 56346860 83468643 976519787 1215063449 299577196 454403793 676942591 760659656 X LEAD THE WORLD IN TRANSFORMING LIVES TO CREATE A HEALTHY FUTURE FOR INDIVIDUALS & COMMUNITIES THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH, & EXTRAORDINARY PATIENT CARE. false false 175185362 19579389 204066864 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 CORPORATION/UNMC CAMPUS. THE CORPORATION AND PARTNER UNMC EPPLEY CANCER INSTITUTE FOR CANCER RESEARCH IS THE ONLY CLINICAL CANCER CENTER IN ITS SERVICE AREA DESIGNATED BY THE NATIONAL CANCER INSTITUTE. IN ADDITION TO TREATMENT AND CLINICAL TRIALS THE CORPORATION OFFERS SUPPORT GROUPS, SOCIAL WORK, PAIN MANAGEMENT, FINANCIAL COUNSELORS, SUVIVORSHIP GROUPS, GENETIC COUNSELING, AND A VARIETY OF ADDITIONAL PATIENT SUPPORTIVE SERVICES. IN THE FALL OF 2008, THE CORPORATION OPENED A NEW CANCER CENTER NEAR VILLAGE POINTE OFFERING OUTPATIENT SERVICES IN EFFORT TO SERVE THE GROWING DEMAND FOR EXCELLENT CANCER CARE CLOSER TO PATIENTS' HOMES. IN THE FALL OF 2011, THE CORPORATION OPENED A CANCER CLINIC AND TREATMENT CENTER AT BELLEVUE MEDICAL CENTER. IN ADDITION, AS ONE OF THE BUSIEST PROGRAMS IN THE WORLD, THE BONE MARROW TRANSPLANTATION PROGRAM SERVED 171 PATIENTS IN THE YEAR ENDED JUNE 30, 2016. A 24/7 emergency and evaluation treatment center is dedicated to cancer and transplant patients. THE PROGRAM BENEFITS FROM THE RESEARCH CONDUCTED ON THE CORPORATION/UNMC CAMPUS AND THE COOPERATIVE CARE PROGRAM WHICH ASSISTS PATIENTS TO PREPARE FOR AND RECOVER FROM THE TRANSPLANT IN A HOME-LIKE SETTING WITH A CARE PARTNER OF THEIR CHOOSING. THE PROGRAM IS HOUSED IN THE LIED TRANSPLANT CENTER AND RECOGNIZES THE IMPORTANCE OF ENVIRONMENT TO THE PATIENT'S OVERALL WELL-BEING. DURING FISCAL YEAR 2016, THE ONCOLOGY SERVICE LINE INCURRED OVER 82,090 CASES AND OVER 22,280 PATIENT DAYS. APPROXIMATELY 50% OF THE NET REVENUE WAS DERIVED FROM INPATIENT CASES. IN PARTNERSHIP WITH UNMC, THE NEBRASKA MEDICAL CENTER CONTINUED CONSTRUCTION OF THE FRED & PAMELA BUFFETT CANCER CENTER, THE LARGEST SINGLE PROJECT EVER ON CAMPUS. THE PROJECT IS SCHEDULED TO OPEN IN EARLY 2017. 123401504 16398181 146588904 CARDIOVASCULAR SERVICE LINE THE NEBRASKA MEDICAL CENTER PROVIDES A WIDE RANGE OF CARDIOVASCULAR SERVICES FROM DIET COUNSELING TO SURGICAL PROCEDURES AND REHABILITATION. THE NEBRASKA MEDICAL CENTER HAS GROWN INTO ONE OF THE BUSIEST CENTERS IN THE COUNTRY FOR VENTRICULAR ASSIST DEVICE OPERATIONS. THE CORPORATION 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. 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. WE HAVE THE ONLY JOINT COMMISSION CERTIFIED DESTINATION THERAPY PROGRAM IN THE STATE AND ARE THE ONLY HOSPITAL IN THE REGION PERFORMING ADULT HEART TRANSPLANTS AND IMPLANTING TOTAL ARTIFICIAL HEARTS. THE HOSPITAL TREATS PATIENTS FROM THE SURROUNDING REGION AND IN THE YEAR ENDED JUNE 30, 2016, APPROXIMATELY 657 OPEN HEART SURGERIES WERE PERFORMED, 35 HEART TRANSPLANTS, 63 MECHANICAL CIRCULATORY SYSTEM DEVICE IMPLANTATIONS, AND 1 TOTAL ARTIFICIAL HEART IMPLANTATION WERE PERFORMED. 114876552 16261988 131855261 NEUROLOGY 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. THE CORPORATION HAS ONE OF 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. THE CORPORATION 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. THE CORPORATION ALSO HOSTS THE ONLY YOUNG ADULT STROKE SUPPORT GROUP TO ADDRESS THE EMOTION AND PHYSICAL CHALLENGES OF RECOVERING FROM STROKE. DURING FISCAL YEAR 2016, NEUROSCIENCES INCURRED OVER 4,773 INPATIENTS WITH OVER 23,504 PATIENT DAYS AND OVER 47,305 OUTPATIENT BILLING UNITS APPROXIMATELY 68% OF THE REVENUE WAS DERIVED FROM INPATIENT CASES. 95079224 0 123056462 DIGESTIVE DISEASE & KIDNEY 597095149 121504232 540304620 OTHER PROGRAM SERVICES 692174373 121504232 663361082 1105637791 true true false true false false false true false true true false false false true true false true false false true false false true false false true true true true true true false false false false false false false false true true false false false false true true true true false false true 431 0 true 8094 true true true false false false false false false false false false X 8 5 true false false false true true true true true false false true true true true true true true true true false X LINDA SCHOLTING 4025599789 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 X JEFFREY GOLD CHAIRMAN 1.0 0.0 X X 0 0 0 MOGENS C BAY VICE CHAIRMAN 1.0 0.0 X X 0 0 0 BRUCE GREWCOCK TREASURER 1.0 0.0 X X 0 0 0 LOUIS W BURGHER Clarkson College Pres/Member 1.0 54.0 X 364765 0 15615 GAIL WALLING YANNEY BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES E MCCLURG BOARD MEMBER 1.0 0.0 X 0 0 0 NANCY KEEGAN BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES T CANEDY BOARD MEMBER 1.0 0.0 X 523362 0 0 BRADLEY E BRITIGAN PRESIDENT OF NEBRASKA MEDICINE 30.0 0.0 X 387098 0 23283 STEPHANIE R DAUBERT CFO 54.0 1.0 X 634664 0 41980 ROSANNA D MORRIS CEO 54.0 1.0 X 973457 0 78100 ANGELA BECK AMBULATORY CARE VP 55.0 0.0 X 247388 0 29808 DENNIS D BIERLE SYSTEM CLINICAL OPERATIONS COO 55.0 0.0 X 551308 0 24514 RUTA P DAVIDSON CHIEF HUMAN CAPITAL OFFICER 55.0 0.0 X 485668 0 21397 DEBORAH K ISTAS CEO BMC 55.0 0.0 X 405004 0 24646 THOMAS C MACY AMB CLINICS/CLINICAL PROG VP 55.0 0.0 X 319444 0 37853 SUZANNE NUSS CHIEF NURSING OFFICER 55.0 0.0 X 373178 0 37680 TADD M PULLIN VP MARKETING & PLANNING 55.0 0.0 X 466024 0 74025 CORY D SHAW CHIEF STRATEGY OFFICER 55.0 0.0 X 922392 0 24262 FRANK V VENUTO CHIEF HUMAN CAPITAL OFFICER 55.0 0.0 X 244616 0 12641 MATTHEW E POSPISIL PERIOP SVCS/BELLEVUE VP 55.0 0.0 X 211612 0 34000 THERESA FRANCO EXEC DIR - CANCER CARE 55.0 0.0 X 309662 0 36116 BRIAN J LANCASTER EXEC DIR - INFORMATION MGMT 55.0 0.0 X 264804 0 14703 JULIE LAZURE EXEC DIR - ED/TRAUMA CCU 55.0 0.0 X 290735 0 42225 MICHAEL F POWELL EXEC DIR - PHARMACY 55.0 0.0 X 243892 0 48483 LEVI J SCHEPPERS NOH CEO 55.0 0.0 X 304001 0 30438 WILLIAM DINSMOOR FORMER CEO 0.0 0.0 X 670189 0 11332 GLENN A FOSDICK FORMER CEO 0.0 0.0 X 2202008 0 0 DAVID S FULLER FORMER CHIEF PROCESS OFFICER 0.0 0.0 X 129474 0 5160 JOE B GRAHAM FORMER COO 0.0 0.0 X 1407524 0 0 STEPHEN B SMITH FORMER CHIEF MEDICAL OFFICER 0.0 0.0 X 1816035 0 4271 14748304 0 672532 495 true true true DELOITTE TOUCHE LLP FIRST NATIONAL TOWER 1601 DODGE ST OMAHA NE 681029706 PROFESSIONAL FEES 5298326 University of Nebraska Medical Cent 986900 Nebraska Medical Center OMAHA NE 681986800 MEDICAL SERVICES 3351944 CARDINAL HEALTH 5840 F ST OMAHA NE 68117 MANAGEMENT FEE 8255200 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA ST OMAHA NE 68154 STAFFING SERVICES 4861955 RDG Planning and Design 900 Farnam on the Mall STE 100 OMAHA NE 68102 Design Services 3007108 325 3356892 27657606 31014498 ONCOLOGY & BMT 900099 204066864 204066864 CARDIOVASCULAR 900099 146588904 146588904 NEUROSCIENCES 900099 131855261 131855261 DIGESTIVE DISEASE & KIDNEY 900099 123056462 123056462 OTHER SURGERY 900099 104371274 104371274 374710244 374710244 1084649009 10337706 10337706 0 0 4298667 84341 4298667 84341 4383008 1330725 3052283 9846009 155621 8435784 255022 1410225 -99401 1310824 1310824 0 0 0 PHARMACY SERVICES/OTHER 900099 34505012 34381600 123412 LAB SERVICES/OTHER 900099 6408016 6408016 ENVIRONMENTAL SERVICES 900099 3484799 3484799 19164270 16948687 2215583 63562097 1195257142 1145872111 3669720 14700813 116357079 116357079 57684972 57684972 0 0 6942282 6942282 0 347732305 347409123 323182 19949255 19930396 18859 33108231 33097878 10353 24260825 24237986 22839 0 4800461 4800461 758253 758253 47109 47109 36847 36847 377326 377326 72783371 72685227 98144 5607081 5607081 6019560 6011957 7603 0 0 26825792 26825792 1400501 1399227 1274 0 578930 576836 2094 3101441 3101441 0 59903501 59891288 12213 4088833 4088833 PHARMACY & MEDICAL SUPPLIES 267465042 267465042 REPAIRS & MAINTENANCE 26453406 26433834 19572 AFFILIATED AGREEMENT 13543512 13543455 57 MINOR EQUIP LEASE/PURCHASE 8082019 8048437 33582 3880565 3875190 5375 1111788499 1105637791 5558714 591994 131816523 166623032 167526254 143840583 1086744 22622786 156056577 175689532 0 0 0 0 1027500 568475 6748540 7945499 16116579 20750640 1199625479 623671341 401094369 575954138 47192753 49715533 12284388 12096708 0 0 0 0 35569560 39256523 976519787 1215063449 173491629 193889987 0 0 0 0 54518376 41553569 0 0 0 0 39084831 167000994 0 0 32482360 51959243 299577196 454403793 X 665187679 726314663 10108200 32698531 1646712 1646462 676942591 760659656 976519787 1215063449 X 83468643 138359 110063 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 47109 47109 false Schedule C, Part II-B, Line 1i LOBBYING EXPENSES THIS AMOUNT CONSISTS OF HOSPITAL LOBBYING DUES PAID THROUGH ANNUAL DUES OF THE NATIONAL AND STATE HOSPITAL ASSOCIATIONS. 630351 X false 11773235 22709595 342375 464825 34360380 12403086 529283 386414 1545548 11773235 11334983 705663 937864 575424 12403086 11324608 608313 378953 976891 11334983 9728657 2441330 111526 956905 11324608 0.05000 0.95000 false false 12337152 12337152 298733079 106476771 192256308 19077503 4708547 14368956 858011205 508498509 349512696 11466540 3987514 7479026 575954138 0 DUE TO AFFILIATES 27303047 OTHER LONG-TERM LIABILITIES 8054133 THIRD PARTY PAYOR SETTLEMENT 16602063 51959243 X 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. 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, 2016 OR 2015. NORTH AMERICA Program Services PROMOTE MEDICAL CARE 3468 MIDDLE EAST AND NORTH AFRICA Program Services PROMOTE MEDICAL CARE 34713 SOUTH ASIA Program Services PROMOTE MEDICAL CARE 6641 44822 44822 false false false false false false SCHEDULE F, Part I, Line 2 INTERNATIONAL ACTIVITIES INTERNATIONAL ACTIVITIES INCLUDE TRAVEL TO THESE REGIONS FOR MARKETING AND PROMOTION OF INTERNATIONAL PROGRAM OF THE NEBRASKA MEDICAL CENTER INCLUDING PATIENT CARE, TRAINING, AND EDUCATION. X X X X X true All amounts under 5000 false true true X true X true X 0 true true true false true true 7425 19062804 0 19062804 0.01710 58544 107986474 96293491 11692983 0.01050 559 484083 227509 256574 0.00020 66528 127533361 96521000 31012361 0.02780 24 157109 4841512 3513944 1327568 0.00120 6 4950 43723349 8199671 35523678 0.03200 8 0 29837244 25939118 3898126 0.00350 1 0 3091664 767926 2323738 0.00210 8 7073 84013830 0 84013830 0.07560 47 169132 165507599 38420659 127086940 0.11440 47 235660 293040960 134941659 158099301 0.14220 1 0 31250 0 31250 1 0 402484 581195 0 1 0 301 0 301 4 562 460147 0 460147 0.00040 7 562 894182 581195 491698 0.00040 true 29419759 212631135 222774243 -10143108 X true true NEB ORTHO HOSPITAL ORTHOPEDIC HOSPITAL 0.48852 2 1 THE NEBRASKA MEDICAL CENTER 987400 NEBRASKA MEDICAL CENTER OMAHA NE 68198 HTTP://NEBRASKAMED.COM 260011 X X X X A 2 BELLEVUE MEDICAL CENTER 2500 BELLEVUE MEDICAL CENTER DRIVE BELLEVUE NE 68123 HTTP://BELLEVUE.NEBRASKAMED.COM H000115 X X X A GROUP A 12 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C false true X 200. 400. X X X X true true X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false Schedule H, Part V, Line 5 (CHNA) FOR THE NEBRASKA MEDICAL CENTER AND BELLEVUE MEDICAL CENTER 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. EIGHTY-SEVEN 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 CHNA STEERING COMMITTEE PARTICIPANT NAMES BELOW IS A LISTING OF THE PARTICIPANTS AND THE SPONSORING ORGANIZATIONS REPRESENTED IN THE ORIGINAL CHNA STEERING COMMITTEE FORMED IN 2011. ALEGENT CREIGHTON HEALTH: BETH LLEWELLYN - VICE PRESIDENT, MISSION INTEGRATION MIKKI FROST - DIRECTOR, COMMUNITY BENEFIT AND HEALTHIER COMMUNITIES DOUGLAS COUNTY HEALTH DEPARTMENT: DR. ADI POUR - HEALTH DIRECTOR MARY BALLUFF - DIVISION CHIEF, COMMUNITY HEALTH AND NUTRITION SERVICES LIVE WELL OMAHA: KERRI PETERSON - EXECUTIVE DIRECTOR METHODIST HEALTH SYSTEM: KEN KLAASMEYER - VICE PRESIDENT RUTH FREED - DIRECTOR OF CLINICAL ALIGNMENT JEFF PROCHASKA - DIRECTOR, STRATEGIC PLANNING VISITING NURSES ASSOCIATION/POTTAWATTAMIE COUNTY: KRIS STAPP - VICE PRESIDENT, COMMUNITY HEALTH SERVICE SARPY/CASS COUNTY HEALTH DEPARTMENT: DIANE KELLY - HEALTH DIRECTOR THE NEBRASKA MEDICAL CENTER: TADD PULLIN - SENIOR VICE PRESIDENT, MARKETING, STRATEGIC PLANNING AND NETWORK OPS ANNETTE WOLFE - DIRECTOR, STRATEGIC PLANNING LESLIE SPETHMAN - GIFT OFFICER/COMMUNITY RELATIONS AND COMMUNITY BENEFIT 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 ALEGENT CREIGHTON HEALTH SYSTEM METHODIST HEALTH SYSTEM DOUGLAS, SARPY, CASS AND POTTAWATTAMIE COUNTY HEALTH DEPARTMENTS LIVE WELL OMAHA Scedule H, Part V, Line 7a & 10a HTTPS://WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT Schedule H, Part V, Section B, Line 7b http://www.douglascohealth.org/content/sites/douglas/2015_PRC_CHNA_Report_ -_Omaha_Metro_Area_Douglas_Sarpy_Cass__Pottawattamie_Counties.pdf Schedule H, Part V, Section B, Line 11 TNMC HAS CURRENT PROGRAMS AND SERVICES IN PLACE TO ADDRESS EACH OF THE NINE CHNA-IDENTIFIED COMMUNITY NEEDS. HOWEVER, IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENTLY, TNMC WILL PLACE A PRIMARY FOCUS ON DIABETES, HEART AND ACCESS TO CARE. 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, TNMC 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 TNMC ARE IDENTIFIED AS NUTRITION/WEIGHTS STATUS, MATERNAL, INFANT, AND CHILD HEALTH, MENTAL DISORDERS AND SUBSTANCE ABUSE, ORAL HEALTH, 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: HTTPS://WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT IMPLEMENTATION STRATEGY PLAN UPDATE THE NEBRASKA MEDICAL CENTER'S 2013-2016 CHNA AND IMPLEMENTATION PLANNING CYCLE IDENTIFIED NINE SIGNIFICANT HEALTH NEEDS, THREE OF WHICH WERE PRIORITIZED FOR THE PLANNING PERIOD: 1) ACCESS TO CARE, 2) HEART DISEASE AND STROKE, AND 3) DIABETES. DURING FISCAL YEAR 2016, THE IMPLEMENTATION PLAN WAS FULLY IMPLEMENTED. BELOW ARE SOME HIGHLIGHTS ON THE PROGRESS OF THE 2013-2016 PLAN: - FUNDING PROVIDED TO LOCAL FREE CLINIC TO PROVIDE DIABETIC TESTING SUPPLIES AND FREE DIABETES EDUCATION TO UNDERSERVED PATIENTS - PROVIDED DIABETES OUTREACH EDUCATION AND SCREENING TO 500 INDIVIDUALS IN DOUGLAS AND SARPY COUNTIES - FULL IMPLEMENTATION OF A TELEHEALTH PROGRAM DESIGNED TO IMPROVE OUTCOMES IN INDIVIDUALS WITH COMPLEX DIABETES; PRELIMINARY RESULTS SHOWING IMPROVED OUTCOMES AND LESS HOSPITALIZATIONS - PROVIDED ELEVEN FREE HERNIA SURGERIES AT NEBRASKA MEDICINE BELLEVUE TO QUALIFYING INDIVIDUALS FACING BARRIERS TO OBTAINING THE SURGERY - ESTABLISHED A COMMUNITY GRANTS PROGRAM TO UNDERWRITE EXPENSES FOR COMMUNITY BASED ORGANIZATIONS TO HOLD OUTREACH EVENTS WITHIN THE COMMUNITIES THEY SERVE THE 2013-2016 CHNA AND IMPLEMENTATION PLANS CAN BE FOUND ONLINE AT: HTTPS://WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT DURING FISCAL YEAR 2016, THE NEXT CHNA WAS CONDUCTED TO MEET THE 2016-2019 TIMELINE. IMPLEMENTATION STRATEGY PLAN HIGHLIGHTS ON THE PROGRESS OF THE 2016-2019 PLAN: - EXPANDED IMMEDIATE CARE CLINIC LOCATIONS AND HOURS TO MEET THE NEEDS OF THE COMMUNITY. THIS INCLUDED A SIGNIFICANT INVESTMENT IN A NEW CLINIC AT GIRLS INC. IN NORTH OMAHA TO PROVIDE CARE FOR UNDERSERVED GIRLS AND THEIR FAMILIES. - HELPED SECURE HEALTH INSURANCE AND NAVIGATION OF THE HEALTHCARE MARKETPLACE TO OVER SEVENTY FIVE INDIVIDUALS - PROVIDED ELEVEN FREE HERNIA SURGERIES AT NEBRASKA MEDICINE BELLEVUE TO QUALIFY INDIVIDUALS FACING BARRIERS IN OBTAINING THE SURGERY - INCREASED THE NUMBER OF MENTAL HEALTH PRACTITIONERS IN THE WORKFORCE BY ADDING 3 FTE'S IN PRIMARY CARE CLINICS AND 2 PSYCHOLOGISTS TO THE PSYCHOLOGY DEPARTMENT - CREATED AND IMPLEMENTED A MENTAL HEALTH AWARENESS CAMPAIGN WITH BOYS TOWN NATIONAL HOTLINE IN OMAHA PUBLIC SCHOOLS AND WITH THE MAHA MUSIC FESTIVAL - PROVIDED OVER 1,400 HEALTHCARE PROVIDERS TRAUMA INFORMED EDUCATION - PROVIDED FUNDING TO THE NATIONAL SAFETY COUNCIL OF NEBRASKA AND THE BRAIN INJURY ALLIANCE TO FUND PROGRAMS WHICH REDUCED THE NUMBER OF PREVENTABLE DEATHS RELATED TO MOTOR VEHICLE ACCIDENTS AND CONCUSSIONS - INVESTED IN SEVERAL NON-PROFIT PARTNERS TO CONNECT UNDERSERVED CANCER PATIENTS TO COMMUNITY RESOURCES - CONTINUED EFFORTS IN BUILDING THE CANCER CENTER SLATED TO OPEN IN JUNE 2017 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, Section B, Line 16a-16c https://www.nebraskamed.com/patients/financial-assistance Schedule H, Part V, Section B, Line 16i 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. 12 NEBRASKA MEDICAL CENTER RADIOLOGY 111 N 175TH STREET OMAHA NE 68144 PROVIDER BASED RADIOLOGY DEPARTMENT NEBRASKA MEDICAL CENTER LABORATORY 2727 S 144TH STREET STE 160 OMAHA NE 68144 PROVIDER BASED LABORATORY DEPARTMENT NMC - BELLEVUE PHARMACY 2510 BELLEVUE MEDICAL CTR DR STE BELLEVUE NE 68123 PHARMACY CANCER CTR AT VILLAGE POINTE MED CENTER 111 N 175TH STREET OMAHA NE 68118 ONCOLOGY, PADIOLOGY, PATHOLOGY, PHARMACY, TREATMENT NMC - BELLEVUE CANCER SERVICES 2510 BELLEVUE MED CTR DR BELLEVUE NE 68123 INFUSION SERVICES ONCOLOGY CLINIC NMC CARDIOLOGY IMAGING 2727 S 144TH STREET STE 100 OMAHA NE 68144 CARDIOLOGY IMAGING NMC VILLAGE POINTE ENDOSCOPY CENTER 111 N 175TH STREET OMAHA NE 68118 ENDOSCOPY SERVICES NMC BELLEVUE CANCER SERVICES 2500 BELLEVUE MED CTR DR RMS 224- BELLEVUE NE 68123 INFUSION SERVICES NMC - VILLAGE POINTE OP SURGERY CENTER 110 N 175TH STREET OMAHA NE 68118 OUTPATIENT SURGERY NMC - SPECIALITY CARE CENTER 804 SOUTH 52ND STREET OMAHA NE 68106 SPECIALTY CLINIC NMC - TRUHLSEN EYE INSTITUTE 3902 LEAVENWORTH STREET OMAHA NE 68105 OPTHALMALOGY CLINIC NE MEDICINE-INTERNAL MEDICINE ASSOCIATES 729 NORTH CUSTER AVENUE GRAND ISLAND NE 68805 INTERNAL MEDICINE CLINIC 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: https://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 THE ORGANIZATION'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 7% 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) IS 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 PAYMENTS 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 NMC 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, NMC ENGAGED PROFESSIONAL RESEARCH CONSULTANTS (PRC) TO PERFORM A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH THE LOCAL HEALTH SYSTEMS AND COUNTY HEALTH DEPARTMENTS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE NMC 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 COMMUNITY INFORMATION WE SERVE MANY COMMUNITIES, INTERNATIONAL, REGIONAL, STATE AND LOCAL OMAHA. THE STATISTICS BELOW DESCRIBE OUR "LOCAL" OMAHA COMMUNITY DEFINED AS DOUGLAS AND SARPY COUNTIES IN NEBRASKA. THIS LOCAL AREA REPRESENTS APPROXIMATELY 70% OF OUR INPATIENT AND OUTPATIENT DISCHARGES AND VISITS. THE 2016 ESTIMATED POPULATION FOR THIS LOCAL AREA IS 734,018. THE ESTIMATED RACE BREAKDOWN OF THE POPULATION IS BELOW. WHITE NON-HISPANIC 530,961 73.16% BLACK NON-HISPANIC 70,987 9.78% ASIAN NON-HISPANIC 23,469 3.23% HISPANIC 82,393 11.35% ALL OTHERS 17,946 2.48% 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, BMC AND NMC. THERE ARE FOUR DESIGNATED MEDICALLY UNDERSERVED AREAS IN DOUGLAS COUNTY (THREE AREAS) AND SARPY COUNTY (ONE AREA.) DOUGLAS COUNTY MEDIAN HOUSEHOLD INCOME, (2011-2015) = $54,659 PERSONS BELOW POVERTY LEVEL, PERCENT (2011-2015) = 14.5% (79,759 BASED ON 2015 POPULATION ESTIMATE) SARPY COUNTY MEDIAN HOUSEHOLD INCOME, (2011-2015) = $70,543 PERSONS BELOW POVERTY LEVEL, PERCENT (2011-2015) = 5.8% (10,190 BASED ON 2015 POPULATION ESTIMATE) IN THE 2016 FISCAL YEAR, THERE WERE 17,989 MEDICAID CLAIMS IN THE LOCAL COMMUNITY AND 4,139 UNINSURED OR SELF PAY CLAIMS. OF THESE, NMC SERVED 38.5% OF THE MEDICAID CLAIMS AND 52.7% OF THE UNINSURED (OR SELF PAY). SCHEDULE H, PART VI, LINE 5 COMMUNITY BUILDING ACTIVITIES AND PROMOTION OF HEALTH NMC 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. NMC PROVIDES HUMAN RESOURCE CONSULTING SERVICES TO HELP THESE SMALLER INSTITUTIONS ADDRESS WIDESPREAD HEALTH CARE WORKFORCE SHORTAGES IN RURAL AREAS. THE HOSPITAL'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, THE HOSPITAL HAS THE ONLY BIO-CONTAINMENT UNIT IN THE STATE, 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. BMC HAS PARTICIPATED IN, AND HOSTED A NUMBER OF EVENTS DESIGNED TO PROMOTE A HEALTHIER COMMUNITY. IN ADDITION TO FINANCIAL SUPPORT OF SEVERAL COMMUNITY-BASED CHARITABLE ORGANIZATIONS AND THE LOCAL CHAMBER OF COMMERCE, THE HOSPITAL'S LEADERSHIP TEAM IS ACTIVE ON COMMUNITY BOARDS. OTHER INFORMATION NMC IS A NONPROFIT HOSPITAL MEETING THE REQUIREMENTS OF REVENUE RULING 69-545. IN SUMMARY, THE HOSPITAL 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 NMC NOR BMC ARE IN AN AFFILIATED HEALTHCARE SYSTEM. SCHEDULE H, PART VI, LINE 7 NMC AND BMC FILE A COMMUNITY BENEFIT REPORT WITH THE NEBRASKA HOSPITAL ASSOCIATION ANNUALLY. true THE DURHAM WESTERN HERITAGE MUSEUM 801 S 10TH ST Omaha NE 68108 470556061 501(C)(3) 100000 General Support MUSEUM OPERATIONS JOSLYN ART MUSEUM 986800 Ne Med Ctr Omaha NE 681986800 470384577 501(C)(3) 50000 General support for clinic operations serving unde GENERAL SUPPORT OMAHA SYMPHONY 4920 S 30th Street Omaha NE 68107 476039304 501(C)(3) 35000 General Support GENERAL SUPPORT RONALD MCDONALD HOUSE 7110 F Street Omaha NE 68117 470755104 501(C)(3) 32850 General Support GENERAL SUPPORT GREATER OMAHA CHAMBER FOUNDATION 2679 Farnam St Suite 205 Omaha NE 68131 470258610 501(C)(3) 46314 support GENERAL SUPPORT HOPE MEDICAL OUTREACH COALITION 920 S 107th Ave Ste 302 Omaha NE 68114 911850344 501(C)(3) 25197 General Support GENERAL SUPPORT AMERICAN HEART ASSOCIATION 1301 Harney Street Omaha NE 68102 135613797 501(C)(3) 21500 General Support GENERAL SUPPORT HEART MINISTRY CENTER 1301 Harney Street Omaha NE 68102 810614816 501(C)(3) 20000 General Support GENERAL SUPPORT Latino Center Of The Midlands 10832 Old Mill Rd Ste 2 Omaha NE 68154 237208431 501(C)(3) 20000 General support for lymphoma research and educatio GENERAL SUPPORT VISITING NURSE ASSOCIATION 2200 Dodge St Omaha NE 68102 470690207 501(C)(3) 18300 General Support GENERAL SUPPORT AMERICAN CANCER SOCIETY 5301 S 36th St Omaha NE 68107 131788491 501(C)(3) 15000 General Support GENERAL SUPPORT Cystic Fibrosis Foundation 987509 Ne Med Ctr Omaha NE 681987509 131930701 501(C)(3) 12000 General support of auxiliary's community efforts GENERAL SUPPORT MARCH OF DIMES 1200 Douglas St Omaha NE 68102 131846366 501(C)(3) 11250 General support of society's operations GENERAL SUPPORT OMAHA CHILDREN'S MUSEUM 801 S 10th St Omaha NE 68108 470594056 501(C)(3) 11000 General support of museum operations GENERAL SUPPORT United Cerebral Palsy of Nebraska 233 S 13 St 1200 Lincoln NE 685082026 203568840 501(C)(3) 11000 General support of association's operations GENERAL SUPPORT INTERCULTURAL SENIOR CENTER 988101 Ne Med Ctr Omaha NE 681988101 272460810 501(C)(3) 10000 General operations and support GENERAL SUPPORT LAURITZEN GARDENS 986800 Ne Med Ctr Omaha NE 681986800 470659701 501(C)(3) 10000 Faculty Support for the University GENERAL SUPPORT LEUKEMIA AND LYMPHOMA SOCIETY 986800 Ne Med Ctr Omaha NE 681986800 135644916 501(C)(3) 10000 General support (AAA agreement) LYMPHOMA RESEARCH LIVE WELL OMAHA 3835 Holdrege Lincoln NE 68583 470834161 501(C)(3) 10000 General support GENERAL SUPPORT Omaha Performing Arts 988145 Ne Med Ctr Omaha NE 681988145 470832480 501(C)(3) 10000 General support GENERAL SUPPORT PARTNERSHIP 4 KIDS 101 S 42nd Street Omaha NE 681312739 470762798 501(C)(3) 10000 General support GENERAL SUPPORT DONATE LIFE AMERICA 101 S 42nd Street Omaha NE 681312739 541626038 501(C)(3) 9000 Matching Grants GENERAL SUPPORT CITY OF OMAHA POLICE FOUNDATION 12401 W Maple Rd Omaha NE 681641853 470843276 501(c)(3) 8500 General support GENERAL SUPPORT KOMEN NEBRASKA AFFILIATE 501 N 87th St Suite 205 Omaha NE 68114 752462834 501(C)(3) 7500 General support GENERAL SUPPORT MAKE A WISH 12565 W Center Rd Ste 220 Omaha NE 68144 470671096 501(C)(3) 7500 General support GENERAL SUPPORT PROJECT HARMONY PO Box 107 405 E Main St Fairfax MO 644460107 470789054 501(C)(3) 7500 General support GENERAL SUPPORT NEBRASKA KIDNEY ASSOCIATION 988101 Ne Med Ctr Omaha NE 681988101 237225449 501(C)(3) 6000 Support Operations GENERAL SUPPORT Clarkson College 986800 Ne Med Ctr Omaha NE 681986800 363649217 501(C)(3) 2292713 Support operations and expenses of University's mi GENERAL SUPPORT Clarkson Regional Health Services Inc 988101 Ne Med Ctr Omaha NE 681988101 470376531 501(C)(3) 6000000 Support operations and expenses of clinics GENERAL SUPPORT Board of Regents of the Univ of NE 986800 Ne Med Ctr Omaha NE 681986800 470049123 501(C)(3) 6000000 Support operations and expenses of University's mi GENERAL SUPPORT UNMC Physicians 6901 Dodge Street Omaha NE 68198 470785575 501(C)(3) 52444927 General support of organ donation awareness campai GENERAL SUPPORT UNIVERSITY OF NEBRASKA MEDICAL CENTER 1904 Farnam St Ste 500 Omaha NE 68102 470049123 501(c)(3) 48747553 PATIENTS LEGAL AID GENERAL SUPPORT 31 0 Financial Assistance (Pharmaceuticals) 1658 918327 BOOK PHARMACEUTICALS Financial Assistance (Charity Care) 7676 56346055 BOOK CHARITY CARE Financial Assistance (Renal-Indigent Patients) 44 420590 BOOK INDIGENT DIALYSIS 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 OUTLINED 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. X X X X X X true true false true false true false false false LOUIS W BURGHER Clarkson College Pres/Member 364765 0 0 0 0 0 10808 0 4807 0 380380 0 0 0 JAMES T CANEDY BOARD MEMBER 523362 0 0 0 0 0 0 0 0 0 523362 0 0 0 BRADLEY E BRITIGAN PRESIDENT OF NEBRASKA MEDICINE 363098 0 24000 0 0 21183 0 2100 0 410381 0 0 0 STEPHANIE R DAUBERT CFO 425116 0 203000 0 6548 0 23873 0 22246 0 680783 0 0 0 ROSANNA D MORRIS CEO 606573 0 267500 0 99384 0 65044 0 13920 0 1052421 0 89330 0 ANGELA BECK AMBULATORY CARE VP 206658 0 40017 0 713 0 15995 0 14262 0 277645 0 0 0 DENNIS D BIERLE SYSTEM CLINICAL OPERATIONS COO 378364 0 169000 0 3944 0 8202 0 19406 0 578916 0 0 0 RUTA P DAVIDSON CHIEF HUMAN CAPITAL OFFICER 315112 0 169500 0 1056 0 11714 0 10348 0 507730 0 0 0 THERESA FRANCO EXEC DIR - CANCER CARE 288577 0 19927 0 1158 0 23597 0 12519 0 345778 0 0 0 DEBORAH K ISTAS CEO BMC 271601 0 132310 0 1093 0 23916 0 3578 0 432498 0 0 0 THOMAS C MACY AMB CLINICS/CLINICAL PROG VP 283196 0 35133 0 1115 0 22040 0 16391 0 357875 0 0 0 SUZANNE NUSS CHIEF NURSING OFFICER 242967 0 127000 0 3211 0 9650 0 29061 0 411889 0 0 0 TADD M PULLIN VP MARKETING & PLANNING 201553 0 175000 0 89471 0 71993 0 2390 0 540407 0 85775 0 CORY D SHAW CHIEF STRATEGY OFFICER 492862 0 424951 0 4579 0 7950 0 17237 0 947579 0 0 0 FRANK V VENUTO CHIEF HUMAN CAPITAL OFFICER 181096 0 60000 0 3520 0 0 0 14133 0 258749 0 0 0 BRIAN J LANCASTER EXEC DIR - INFORMATION MGMT 255725 0 8168 0 911 0 0 0 15440 0 280244 0 0 0 JULIE LAZURE EXEC DIR - ED/TRAUMA CCU 223612 0 66344 0 779 0 25231 0 19135 0 335101 0 0 0 MATTHEW E POSPISIL PERIOP SVCS/BELLEVUE VP 174031 0 36874 0 707 0 19407 0 15949 0 246968 0 0 0 MICHAEL F POWELL EXEC DIR - PHARMACY 224648 0 18337 0 907 0 21519 0 27535 0 292946 0 0 0 LEVI J SCHEPPERS NOH CEO 299557 0 500 0 3944 0 15673 0 14765 0 334439 0 0 0 WILLIAM DINSMOOR FORMER CEO 112053 0 0 0 558136 0 9800 0 2473 0 682462 0 114336 0 GLENN A FOSDICK FORMER CEO 0 0 0 0 2202008 0 0 0 0 0 2202008 0 46707 0 DAVID S FULLER FORMER CHIEF PROCESS OFFICER 0 0 0 0 129474 0 5160 0 0 0 134634 0 0 0 JOE B GRAHAM FORMER COO 0 0 0 0 1407524 0 0 0 0 0 1407524 0 239341 0 STEPHEN B SMITH FORMER CHIEF MEDICAL OFFICER 0 0 0 0 1816035 0 4271 0 0 0 1820306 0 65698 0 Schedule J, Part I, Line 4a SEVERANCE PAYMENTS THE FOLLOWING EMPLOYEES WERE TERMED PRIOR TO FISCAL YEAR 2016 AND RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2015: GLENN A. FOSDICK $801,084 STEPHEN B. SMITH $406,692 JOE B. GRAHAM $429,236 WILLIAM DINSMOOR $442,401 DAVID S. FULLER $129,474 Schedule J, Part I, Line 4b NONQUALIFIED RETIREMENT PLANS CERTAIN EXECUTIVES DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. A PAYOUT OCCURRED DURING THE YEAR FROM A SUPPLEMENTAL NONQUALIFIED PLAN TO CURRENT AND FORMER* INDIVIDUALS: *GLENN A. FOSDICK $46,707 *JOE B. GRAHAM $239,341 *STEPHEN B. SMITH $65,698 ROSANNA D. MORRIS $91,824 TADD M. PULLIN $85,775 *WILLIAM DINSMOOR $114,336 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. A PAYOUT OCCURRED DURING THE YEAR FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CURRENT AND FORMER* INDIVIDUALS: *GLENN A. FOSDICK $1,354,216 *JOE B. GRAHAM $738,947 *STEPHEN B. SMITH $1,343,646 Schedule J, Part I, Line 5a & 6a CONTINGENT COMPENSATION THE ORGANIZATION'S REVENUES AND NET EARNINGS ARE TAKEN INTO CONSIDERATION WHEN CALCULATING EXECUTIVE INCENTIVE 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 IN LIEU OF A TYPICAL EXECUTIVE'S BASE PAY. 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 FY15 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: ROSANNA D. MORRIS $267,500 TADD M. PULLIN $175,000 RUTA P. DAVIDSON $169,500 LEVI J. SCHEPPERS $500 THERESA FRANCO $19,927 DEBORAH K. ISTAS $132,310 MICHAEL F. POWELL $18,337 STEPHANIE R. DAUBERT $203,000 ANGELA B. BECK $40,017 DENNIS D. BIERLE $169,000 THOMAS C. MACY $35,133 SUZANNE NUSS $127,000 CORY D. SHAW $424,951 FRANK V. VENUTO $60,000 BRIAN J. LANCASTER $8,168 JULIE LAZURE $66,344 MATTHEW E. POSPISIL $36,874 FORM 990, PART VII, LINE 5 Bradley E. Britigan is paid by an unrelated organization (University of Nebraska Medical Center) for his services as the President of Nebraska Medicine. A HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE 521440769 000000000 2014-05-01 51000000 REFUND BOND ISSUE false false false A 9446431 0 51000000 0 0 0 0 0 0 1061084 49938916 0 2014 false false true true A false false true true true true 0.00500 0.00000 0.00500 false false false true A false true false false false false 0 false 0 false true A true Schedule K, Part I, Column G During 2016, the Series 2003 Hospital Revenue Bonds were defeased early by NMC. In August 2016, NMC issued $284 million of Hospital Revenue Bonds, the proceeds of which were used to pay off the short-term debt, and reimburse NMC for amounts used to defease the outstanding Hospital Revenue Bonds issued in 2003. The remaining proceeds will be used to fund capital projects for the campus. BRUCE GREWCOCK KIEWIT CONTRUCTION, PRES 609542 CONSTRUCTION SERVICES false CANEDY DINSMOOR SIMPLYWELL BOARD MEMBERS 659967 SERVICES, SUPPLIES, RENTAL false DAUBERT PULLIN NOH LLC BOARD MEMBERS 2054813 SERVICES AND SUPPLIES false CANEDY PULLIN DINSMOOR PARAMOUNT BOARD MEMBERS 11354 SERVICES AND SUPPLIES false WILLIAM S DINSMOOR WIFE IS EMPLOYEE 179082 EMPLOYMENT false WILLIAM S DINSMOOR BROTHER IS EMPLOYEE 40483 EMPLOYMENT false WILLIAM S DINSMOOR DAUGHTER IS EMPLOYEE 53837 EMPLOYMENT false JOE B GRAHAM DAUGHTER IS EMPLOYEE 13144 EMPLOYMENT false DENNIS D BIERLE SON IS EMPLOYEE 86611 EMPLOYMENT false DENNIS D BIERLE SON IS EMPLOYEE 11006 EMPLOYMENT false Schedule L, Part IV 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. 4.) THE SERVICES PROVIDED TO/FROM PARAMOUNT GROUP, LLC ARE COMPRISED OF SUPPLIES AND SERVICES. FORM 990, PART III, LINE 4D DIGESTIVE DISEASE AND KIDNEY SERVICE LINE THE CORPORATION OPERATES ONE OF THE BUSIEST SOLID ORGAN TRANSPLANT PROGRAMS IN THE WORLD. IN 2016 NEBRASKA MEDICAL CENTER JOINED A SMALL NUMBER OF TRANSPLANT CENTERS WHICH HAVE PROGRAMS FOR TRANSPLANTS OF ALL SOLID ORGANS. THE CENTERS NEW LUNG TRANSPLANT PROGRAM DID ITS FIRST TRANSPLANT IN February OF 2016 AND PERFORMED 4 LUNG TRANSPLANTS THROUGH THE REST OF THE YEAR. IN THE YEAR ENDED JUNE 30, 2016, THE CORPORATION PERFORMED 250 SOLID ORGAN TRANSPLANTS INCLUDING LIVER, KIDNEY, HEART, LUNG, PANCREAS AND SMALL BOWEL. THE SUCCESS OF THE CORPORATION'S SOLID ORGAN TRANSPLANT PROGRAM IS HEIGHTENED BY RESEARCH DONE ON THE CORPORATION/UNMC CAMPUS. SINCE ITS INCEPTION, PATIENTS HAVE COME TO THE NEBRASKA MEDICAL CORPORATION FOR SINGLE-OR-MULTIPLE-ORGAN TRANSPLANT FROM ALL 50 STATES AND FIVE CONTINENTS. DURING FISCAL YEAR 2016, THE SOLID ORGAN TRANSPLANTATION SERVICE LINE INCURRED OVER 67,569 CASES AND 22,287 PATIENT DAYS. APPROXIMATELY 72% OF THE REVENUE WAS DERIVED FROM INPATIENT CASES. ALL OTHER HOSPITAL SERVICES WITH A HISTORY DATING BACK TO 1869, THE NEBRASKA MEDICAL CENTER WAS FORMED WITH THE MERGING OF BISHOP CLARKSON MEMORIAL HOSPITAL AND UNIVERSITY HOSPITAL AND CONTINUES TO ATTRACT PATIENTS FROM THE REGION AND AROUND THE WORLD. THE NEBRASKA MEDICAL CENTER IS A TERTIARY/QUATERNARY ACADEMIC MEDICAL CENTER. THE CORPORATION IS THE LARGEST HEALTH CARE FACILITY IN THE STATE WITH MORE THAN 8,000 EMPLOYEES AND OVER 900 PHYSICIANS ON STAFF PRACTICING IN ALL MAJOR SPECIALTIES AND SUB-SPECIALTIES. BESIDES SEVERAL KEY SERVICES IN CARDIOLOGY, ONCOLOGY, TRANSPLANT AND NEUROLOGY, THE HOSPITAL OFFERS COMPREHENSIVE CARE IN WOMEN'S SERVICES FOR OBSTETRICS AND GYNECOLOGY, AS WELL AS PEDIATRIC SERVICES, ORTHOPEDICS, RHEUMATOLOGY, AND PULMONARY CARE. IN ADDITION, THE CORPORATION HAS ONE OF THE REGION'S LARGEST HYPERBARIC MEDICINE PROGRAMS. THE MEDICAL CENTER 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 NEBRASKA MEDICAL CENTER 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. NEBRASKA MEDICAL CENTER ALSO BECAME A REGIONAL LEADER IN TRAUMA CARE WITH THE ESTABLISHMENT OF ITS 24/7 TRAUMA PROGRAM IN AUGUST OF 2014. THIS CHANGE RESULTED IN A 48% INCREASE IN TRAUMA PATIENTS AND ADMITS TO THE HOSPITAL. ITS DIABETES CENTER IS A RECOGNIZED EDUCATION PROGRAM BY THE AMERICAN DIABETES ASSOCIATION AND HAS EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ADVANCED INPATIENT DIABETES CARE. IN 2016, THE NEBRASKA MEDICAL CENTER 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, WILL PROVIDE OUTPATIENT SURGERY PROCEDURES. 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). MR. WILLIAM DINSMOOR, DR. JAMES CANEDY HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, SIMPLYWELL). DR. JAMES CANEDY, MS. STEPHANIE DAUBERT AND MR. LOUIS BURGHER HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON REGIONAL HEALTH SERVICES). MR. WILLIAM DINSMOOR, DR. JAMES CANEDY, MR. THOMAS MACY, MR. LEVI SCHEPPERS, AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH PARTNERS). MR. WILLIAM DINSMOOR, MS. ROSANNA MORRIS AND DR. JAMES CANEDY HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON COLLEGE). MR. WILLIAM DINSMOOR, DR. JAMES CANEDY, MS. ROSANNA MORRIS, MR. BRAD BRITIGAN AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH NETWORK). MR. TADD PULLIN AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA ORTHOPAEDIC HOSPITAL). DR. JAMES CANEDY, MR. TADD PULLIN, AND MR. WILLIAM DINSMOOR HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, PARAMOUNT GROUP, LLC). Form 990, Part VI, Line 6 MEMBERS THE CORPORATION HAS TWO MEMBERS, THE BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA (BOARD OF REGENTS) AND CLARKSON REGIONAL HEALTH SERVICES, INC. (CRHS) Form 990 Part VI Line 7a & 7b GOVERNING BODY APPOINTMENT BOARD OF REGENTS AND CRHS EACH APPOINT SIX MEMBERS TO THE BOARD OF DIRECTORS. BOARD OF REGENTS AND CRHS ARE REQUIRED TO APPROVE THE FOLLOWING DECISIONS MADE BY THE NEBRASKA MEDICAL CENTER BOARD OF DIRECTORS: A)AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION & BYLAWS B)AMENDMENTS TO, OR DECLARATIONS OF DEFAULT UNDER, THE JOINT OPERATING AGREEMENT (JOA) C)MERGER, LIQUIDATION OR DISSOLUTION OF THE CORPORATION D)RETENTION OF RESPECTIVE OWNERSHIP OF ALL PROPERTY, PLANT AND EQUIPMENT, SUBJECT TO THE TERMS OF THE LEASE OR MANAGEMENT AGREEMENT WITH THE CORPORATION SET FORTH IN THE JOA E)DISPOSITION OF DEFINED MEMBER ASSETS VALUED IN EXCESS OF A STATED AMOUNT F)ADDITIONAL CAPITAL INVESTMENTS IN THE CORPORATION NOT SET FORTH IN THE JOA G)CAPITAL EXPENDITURES BY THE MEMBERS FOR DEFINED PROJECTS RELATING TO THE CORPORATION IN EXCESS OF A STATED AMOUNT H)DEBT ISSUANCE FOR DEFINED PROJECTS UNRELATED TO THE CORPORATION I)ADMISSION OF ADDITIONAL PARTICIPANTS IN THE CORPORATION IF SUCH ADMISSION IS BEYOND THE POWERS DELEGATED 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 ADVISORY BOARD TO THE BOARD OF DIRECTORS WAS 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 NMC. 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 COMPENSATION OF OFFICERS, DIRECTORS AND KEY EMPLOYEES SENIOR EXECUTIVE COMPENSATION IS GOVERNED THROUGH THE BY-LAWS FOR NMC. IN ACCORDANCE WITH PROVISIONS SET FORTH IN THE BY-LAWS FOR NMC, AN EXECUTIVE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ENGAGES A THIRD PARTY CONSULTANT TO PROVIDE COMPARABLE DATA FOR REVIEW OF EXECUTIVE SALARIES, ASSESS THE OVERALL COMPENSATION AND BENEFIT PACKAGE AND PROVIDE ADVICE TO THE EXECUTIVE COMPENSATION COMMITTEE ON COMPENSATION AND REGULATORY MATTERS. THE COMMITTEE REVIEWS THE DATA AND RECOMMENDATIONS PROVIDED BY THE CONSULTANT WHICH IS BASED ON COMPETITIVE ASSESSMENTS WITH PEER ORGANIZATIONS AND NATIONAL TRENDS. THE FOLLOWING IS A BRIEF SUMMARY OF THE CONSULTANT'S WORK: FACT FINDING: COLLECT PERTINENT INFORMATION ABOUT NMC AND ITS EXECUTIVE TOTAL COMPENSATION PROGRAMS (SALARIES, INCENTIVE AWARD LEVELS, BENEFITS AND PREREQUISITES). ANALYSIS OF TOTAL COMPENSATION: USING NMC'S EXISTING COMPENSATION PHILOSOPHY AS THE BASIS OF THE STUDY, ANALYZE ALL ELEMENTS OF THE EXECUTIVE COMPENSATION PROGRAM, BOTH INDIVIDUALLY AND IN AGGREGATE. USING A PROPRIETARY DATABASE AND PUBLISHED SURVEYS, COMPARE NMC COMPENSATION AND BENEFIT PROGRAM AND PRACTICES TO THOSE IN ITS NATIONAL PEER GROUP OF ORGANIZATIONS SIMILAR IN SIZE AND COMPLEXITY. PRESENT A WRITTEN REPORT TO THE COMPENSATION COMMITTEE WHICH SUMMARIZES: 1)BEST PRACTICES AND REGULATORY REQUIREMENTS FOR GOVERNING EXECUTIVE PAY 2)COMPETITIVE ANALYSIS OF THE CASH COMPENSATION PROGRAM 3)COMPETITIVE ANALYSIS OF THE LEVELS AND PROVISIONS OF THE BENEFIT PROGRAM 4)OPPORTUNITIES FOR STRENGTHENING THE PROGRAM 5)RECOMMENDATIONS, AS APPROPRIATE Form 990, Part VI, Line 1A ADVISORY BOARD DURING THE FISCAL YEAR ENDED JUNE 30 2014, THE BOARD OF DIRECTORS OF THE NEBRASKA MEDICAL CENTER ADOPTED A RESOLUTION WHICH DELEGATED CERTAIN AUTHORITY OVER THE GOVERNANCE OF TNMC TO AN ADVISORY BOARD COMPRISED OF JEFFREY GOLD, MD, CHAIRMAN, BRADLEY BRITIGAN, MD., MOGENS BAY, BRUCE GREWCOCK, NANCY KEEGAN, JAMES MCCLURG PHD, CHARLES BURT, MD, TIMOTHY KINGSTON, MD, DEBRA ROMBERGER MD, CARL SMITH MD, WILLIAM DINSMOOR (THRU 03/2015), ROSANNA MORRIS (BEG. 03/2015). TNMC BOARD OF DIRECTORS RETAINED THE AUTHORITY TO MAKE ANY CHANGES TO THE JOINT OPERATING AGREEMENT, THE ACADEMIC AFFILIATION AGREEMENT, OR THE ARTICLES OF INCORPORATION OR BYLAWS OF TNMC. THE BOARD ALSO RETAINED THE RIGHT AND AUTHORITY TO RESCIND OR AMEND THE RESOLUTION AT ANY TIME. THIS RESOLUTION AND THE RESULTING CREATION OF AN ADVISORY BOARD WAS AN INTERIM STEP TOWARDS THE COMBINATION OF THE NEBRASKA MEDICAL CENTER (TNMC), BELLEVUE MEDICAL CENTER (BMC) AND UNMC PHYSICIANS TO FORM AN INTEGRATED CLINICAL ENTERPRISE. THE FOLLOWING MEMBERS OVERLAP ON THE ADVISORY BOARD AND BOARD OF DIRECTORS FOR THE NEBRASKA MEDICAL CENTER: MOGENS C. BAY BRUCE GREWCOCK JEFFREY GOLD, MD NANCY KEEGAN JAMES E. MCCLURG, PHD EFFECTIVE JULY 1, 2016, NEBRASKA MEDICINE, TNMC, THE BOARD OF REGENTS, CLARKSON REGIONAL HEALTH SERVICES, INC. AND UNMCP ENTERED INTO A SYSTEM INTEGRATION AGREEMENT ("SIA") TO REPLACE THE INTERIM AGREEMENT AND PERMANENTLY INTEGRATE THE BUSINESS OF TNMC AND UNMCP INTO NEBRASKA MEDICINE. TNMC WILL TEMPORARILY BECOME THE SOLE CORPORATE MEMBER OF UNMCP AND THE OPERATIONS OF UNMCP AND ITS SUBSIDIARIES WILL COME WITHIN THE ULTIMATE CONTROL AND GOVERNANCE OF TNMC. 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. STATEMENTS ARE TYPICALLY NOT MADE AVAILABLE TO THE PUBLIC. Form 990 Part XI Line 9 RECONCILIATION OF NET ASSETS CHANGE IN PENSION ACCOUNTS 568,758 NET ASSETS RELEASED (458,695) TOTAL 110,063 Bellevue Medical Ctr 2500 BMC DR Bellevue NE 68123 204305186 Acute Care NE 76249010 154757032 NMC CLARKSON COLLEGE 101 SOUTH 42ND STREET OMAHA NE 68131 363649217 COLLEGE NE 501(C)(3) LINE 2 NMC true NE HEALTH NETWORK 8511 DODGE RD OMAHA NE 68114 271784907 HEALTHCARE NE NHP INC RELATED -215404 422050 false 0 false 0.50000 NC LAB LLC 8303 DODGE ST OMAHA NE 68114 461173104 DIAGNOSTIC SVC NE NMC RELATED -5910 68004 false -5932 true 0.25000 NHS ORTHOPAEDIC SERVICES INC 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 470845238 INVESTMENT SVC NE NMC C Corp 7807020 13543954 1.00000 true NEBRASKA HEALTH PARTNERS INC 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 470816463 MANAGEMENT NE NMC C Corp 1740205 1407216 1.00000 true false true false true false false false true false true true true false true true false false false false CLARKSON COLLEGE b 2292713 BOOK CLARKSON COLLEGE J 13025908 BOOK CLARKSON COLLEGE L 5167391 BOOK NEBRASKA HEALTH PARTNERS O 1241282 BOOK