THE NEBRASKA MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: THE NEBRASKA MEDICAL CENTER (EIN 91-1858433)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201411359349308146
Schema version: 2012v2.3
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T15:37:54-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1212 North 96th Street Suite 300	AddressLine1
City	Omaha	City
State	NE	State
ZIP Code	68114	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	911858433	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE NEBRASKA MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% STEPHANIE DAUBERT	InCareOfName
Name Control	NEBR	NameControl
Phone	4025594000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	988145 NEBRASKA MEDICAL CENTER	AddressLine1
Address Line2	Suite	AddressLine2
City	OMAHA	City
State	NE	State
ZIP Code	681988145	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Stephanie Daubert	Name
Title	CFO	Title
Phone	4025522889	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	4023481450	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM DINSMOOR	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	987400 NEBRASKA MEDICAL CENTER	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	681987400	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	781434613	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.nebraskamed.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	To be the region's premier medical provider by serving our patients and community through extraordinary care, the finest people and academic and private practice medicine.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	6601	TotalNbrEmployees
Total Nbr Volunteers	758	TotalNbrVolunteers
Total Gross UBI	3686961	TotalGrossUBI
Contributions Grants Prior Year	6021010	ContributionsGrantsPriorYear
Contributions Grants Current Year	4951878	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	803756761	ProgramServiceRevenuePriorYear
Program Service Revenue CY	746303783	ProgramServiceRevenueCY
Investment Income Prior Year	8473453	InvestmentIncomePriorYear
Investment Income Current Year	10357225	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10826695	OtherRevenuePriorYear
Other Revenue Current Year	12119720	OtherRevenueCurrentYear
Total Revenue Prior Year	829077919	TotalRevenuePriorYear
Total Revenue Current Year	773732606	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	114453911	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	113208617	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	311005305	SalariesEtcPriorYear
Salaries Etc Current Year	315326031	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	70742	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	53667	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1155660	TotalFundrsngExpCurrentYear
Other Expense Prior Year	377138177	OtherExpensePriorYear
Other Expenses Current Year	330730497	OtherExpensesCurrentYear
Total Expenses Prior Year	802668135	TotalExpensesPriorYear
Total Expenses Current Year	759318812	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	26409784	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14413794	RevenuesLessExpensesCY
Total Assets BOY	797174434	TotalAssetsBOY
Total Assets EOY	837949195	TotalAssetsEOY
Total Liabilities BOY	242689546	TotalLiabilitiesBOY
Total Liabilities EOY	253733299	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	554484888	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	584215896	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO BE THE REGION'S PREMIER MEDICAL PROVIDER BY SERVING OUR PATIENTS AND COMMUNITY THROUGH EXTRAORDINARY CARE, THE FINEST PEOPLE AND ACADEMIC AND PRIVATE PRACTICE MEDICINE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	155083637	Expense
Grants	27582105	Grants
Revenue	172189424	Revenue
Description	Oncology Service Line Cancer treatment services offered by the Corporation include treatment of lymphoma, leukemia, head and neck, breast, gastrointestinal, lung, prostate, gynecologic, blood, bone marrow, 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 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, 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 136 patients in the year ended June 30, 2013. 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 2013, the Oncology Service Line incurred over 88,000 cases and over 20,000 patient days. Approximately 40% of the net revenue was derived from inpatient cases.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	94831861	Expense
Grants	17143729	Grants
Revenue	98303706	Revenue
Description	CARDIOVASCULAR SERVICE LINE The Corporation provides a wide range of Cardiovascular services from diet counseling to surgical procedures and rehabilitation. 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 heart transplants and implanting total artificial hearts. The hospital treats patients from the surrounding region and in the year ended June 30, 2013, approximately 421 open heart surgeries were performed, 20 heart transplants, 33 mechanical circulatory system device implantations, and 3 Total Artificial Heart implantations were performed.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	72261357	Expense
Grants	10284108	Grants
Revenue	74376555	Revenue
Description	Solid Organ Transplantation Service Line The Corporation operates one of the busiest solid organ transplant programs in the world. In the year ended June 30, 2013, the Corporation performed 265 solid organ transplants including liver, kidney, heart, pancreas and small bowel. The success of the Corporation's solid organ transplant program is heightened by research done on the Corporation/UNMC campus. Patients have come to the Corporation for single-or multiple-organ transplant from all 50 states and five continents. During fiscal year 2013, the Solid Organ Transplantation Service Line incurred over 33,580 cases and 13,100 patient days. Approximately 74% of the revenue was derived from inpatient cases.	Description

Activity Other ActivityOther (3 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
71068317	12855144	72853606	Neurolgy Service Line
255901376	45343531	255635796	All Other Hospital
107108385	0	79551070	Other Program Services

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	434078078	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	58198675	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	408040472	TotalOfOtherProgramServiceRev
Total Program Service Expense	756254933	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	true	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	true	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	486	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	6601	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	STEPHANIE DAUBERT	NamePerson
Telephone Number	4025522889	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	988145 NEBRASKA MEDICAL CENTER	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	681988145	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Bruce R Lauritzen
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
Duane W Acklie
Member	1.0	0.0	X		0	0	0
James T Canedy
MEMBER	1.0	0.0	X		0	0	0
Ronald Hollins MD
Member	1.0	0.0	X		0	0	0
Harold Maurer MD
Member	1.0	0.0	X		0	0	0
Gail Walling Yanney MD
Member	1.0	0.0	X		0	0	0
James Young
Member	1.0	0.0	X		0	0	0
Marlin G Stahl MD
Member/CMO-BMC	1.0	54.0	X		21394	0	0
James B Milliken
Secretary	1.0	0.0	X	X	0	0	0
Bradley E Britigan MD
Member	1.0	0.0	X		0	0	0
Nancy Keegan
Member	1.0	0.0	X		0	0	0
James E McClurg PhD
Member	1.0	0.0	X
Glenn A Fosdick
President	55.0	0.0		X	1677825	0	172976
Stephen Smith MD
Chief Medical Officer	55.0	0.0		X	810770	0	139559
William Dinsmoor
Chief Financial Officer	54.0	1.0		X	714949	0	139082
Joe Graham
Chief Operating Officer	55.0	0.0		X	680032	0	134570
Rosanna Morris
Chief Nursing Officer	54.0	1.0		X	553474	0	98659
Randall J Hallett
Exec Dir -Development	55.0	0.0			305050	0	24789	X
Louis Burgher MD
Clarkson College President	1.0	54.0			307565	0	6642	X
Thomas Macy
Nebraska Orthopaedic Hosp CEO	55.0	0.0			236892	0	35376	X
Natale Ponticello
VP Human Resources	55.0	0.0			302319	0	26683	X
Tadd Pullin
VP Marketing and Planning	55.0	0.0			409145	0	81473	X
Theresa Franco
Exec Dir Cancer Care	55.0	0.0			252285	0	27690	X
Deborah Istas
Exec Dir Neuro Sciences	55.0	0.0			248592	0	24586	X
Jorge Parodi
Exec Dir Cardio/Pulmonary	55.0	0.0			250299	0	30071	X
Ruta Davidson
Exec Dir Organ/Transplant/PC	55.0	0.0			329225	0	28764	X
Michael Powell
Exec Dir Pharmacy	55.0	0.0			204215	0	33824	X
Charles Lakso
Exec Dir Radiology/Lab	55.0	0.0			221314	0	24362	X
Lisa McClane
Exec Dir Women/Children	55.0	0.0			192753	0	10252	X
Julie Lazure
Exec Dir Ed/Trauma.CCU	55.0	0.0			176634	0	27915	X
Connie Ogden
Exec Dir Adult Acute Care	55.0	0.0			180469	0	18760	X
Jana Danielson
Exec Director Revenue Cycle	55.0	0.0			188191	0	16674	X
Donald Futrell
Exec Dir, Fac & Clin Spc Plng	55.0	0.0			192460	0	25311	X
David S Fuller
Interim, Chief Process Officer	55.0	0.0			254935	0	28549	X
Lianne Stevens
VP Info Technology	55.0	0.0			264581	0	25725		X
Marcel Devetten MD
Physician	55.0	0.0			206327	0	23467		X
Michael D Johnson
Physician	55.0	0.0			306165	0	19516		X
Cynthia Owen
VP Corporate Affairs	55.0	0.0			265198	0	26292		X
STEVEN J WEES MD
PHYSICIAN	55.0	0.0			245085	0	18169		X
Martin Carmody
FORMER BMC CEO	0.0	0.0			243225	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10241368	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1269736	TotalOtherCompensation
Number Individuals GT100 K	263	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
UNMC PHYSICIANS
988101 NE MED CTR	OMAHA	NE	681988101	MEDICAL SERVICES	16535492
KIEWIT BUILDING GROUP
3921 MASON ST	OMAHA	NE	68105	CONSTRUCTION	6710514
CARDINAL HEALTH
5840 F STREET	OMAHA	NE	68117	MANAGEMENT FEE	7083512
UNMC
984290 NE MED CTR	OMAHA	NE	681984290	MEDICAL SERVICES	18058678
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	IT SERVICES / EHR	11559288

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	140	NumberOfContractorsGT100K
Government Grants	941347	GovernmentGrants
All Other Contributions	4010531	AllOtherContributions
Noncash Contributions	305547	NoncashContributions
Total Contributions	4951878	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE	900099	729906639	729906639
LAB ADMINISTRATION	900099	5709068	5709068
EHR INCENTIVE PAYMENTS	900099	4188653	4188653
REMOTE PHARMACY SERVICES	446110	4080294	3606657	473637
LIED HOSPITALITY	900099	932001	932001

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1487128	TotalRevenueColumn
Related Or Exempt Function Income	1487128	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	746303783	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9507122	TotalRevenueColumn
Exclusion	$9,507,122	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3468086	Real
Personal	546730	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3468086	Real
Personal	546730	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	4014816	TotalRevenueColumn
Unrelated Business Revenue	2188431	UnrelatedBusinessRevenue
Exclusion	$1,826,385	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	8374274	Securities
Other	177836	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	7615174	Securities
Other	86833	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	759100	Securities
Other	91003	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	850103	TotalRevenueColumn
Exclusion	$850,103	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
ENVIRONMENTAL SERVICES	900099	3123012	3123012
ONE CHART FEES	446110	847529	725000	122529
CHILD CARE	624410	761393	761393

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3372970	TotalRevenueColumn
Related Or Exempt Function Income	2470606	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	902364	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	8104904	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	773732606	TotalRevenueColumn
Related Or Exempt Function Income	752910157	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3686961	UnrelatedBusinessRevenue
Exclusion	$12,183,610	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	72249744	Total
Program Services	72249744	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	40958873	Total
Program Services	40958873	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	9830677	Total
Program Services	9491624	ProgramServices
Fundraising	339053	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	243946264	Total
Program Services	243584272	ProgramServices
Fundraising	361992	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	23445792	Total
Program Services	23417053	ProgramServices
Fundraising	28739	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20169108	Total
Program Services	20131448	ProgramServices
Fundraising	37660	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	17934190	Total
Program Services	17895102	ProgramServices
Fundraising	39088	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1112758	Total
Management And General	1112758	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	795461	Total
Management And General	795461	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	57839	Total
Program Services	57839	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	53667	Total
Fundraising	53667	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	210216	Total
Program Services	210216	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	54994086	Total
Program Services	54940629	ProgramServices
Fundraising	53457	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3958826	Total
Program Services	3958826	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4505139	Total
Program Services	4483402	ProgramServices
Fundraising	21737	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5871053	Total
Program Services	5871053	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	975616	Total
Program Services	960404	ProgramServices
Fundraising	15212	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	374344	Total
Program Services	371730	ProgramServices
Fundraising	2614	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2469458	Total
Program Services	2469458	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	47269489	Total
Program Services	47260512	ProgramServices
Fundraising	8977	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3954547	Total
Program Services	3954547	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising
MEDICAL AND CLINICAL EXPENSE	151069237	151069237
MAINTENANCE/GROUNDS UPKEEP	17863953	17830470	33483
OTHER UNMC/UNMC-P	14958062	14958062
EQUIPMENT RENTALS/LEASES	7567277	7518221	49056

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	12723136	Total
Program Services	12612211	ProgramServices
Fundraising	110925	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	759318812	Total
Program Services	756254933	ProgramServices
Management And General	1908219	ManagementAndGeneral
Fundraising	1155660	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	41697888	BOY
EOY	84597960	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	185577791	BOY
EOY	162423912	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	410396	BOY
EOY	164895	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	101354366	BOY
EOY	110896687	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3085245	BOY
EOY	4057952	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4232728	BOY
EOY	4171169	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9157216	BOY
EOY	11218829	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	871635625	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	500024111	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	366438088	BOY
EOY	371611514	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	47532017	BOY
EOY	38777618	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	9053596	BOY
EOY	9936693	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	28635103	BOY
EOY	40091966	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	797174434	BOY
EOY	837949195	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	115099905	BOY
EOY	124368293	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	67544073	BOY
EOY	77386744	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	15031181	BOY
EOY	10353473	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	45014387	BOY
EOY	41624789	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	242689546	BOY
EOY	253733299	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	543173579	BOY
EOY	572891657	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9692282	BOY
EOY	9672927	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1619027	BOY
EOY	1651312	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	554484888	BOY
EOY	584215896	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	797174434	BOY
EOY	837949195	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14413794	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1632757	ReconciliationUnrealizedInvest
Reconcilation Other Changes	13684457	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$57,839	OtherActivitiesAmount
Total Lobbying Expenditures IIB	57839	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule C, Part II-B, Line 1I	Identifier
Return Reference	Lobbying Expenses	ReturnReference
Explanation	This amount consists of hospital lobbying dues paid through annual dues of the National and State Hospital Associations and an amount paid to Bromm & Associates, llc (Law Firms) for lobbying.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts

Held Works Of Art Amts HeldWorksOfArtAmts

Field	Value	IRS element (for citing)
Assets In Part X	630351	AssetsInPartX

Field	Value	IRS element (for citing)
Collect Used For Public Exhibition	X	CollectUsedForPublicExhibition
Solicited Assets For Sale	false	SolicitedAssetsForSale

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11324608	BeginningOfYearBalance
Contributions	608313	Contributions
Investment Earnings Or Losses	378953	InvestmentEarningsOrLosses
Other Expenditures	976891	OtherExpenditures
End Of Year Balance	11334983	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9728657	BeginningOfYearBalance
Contributions	2441330	Contributions
Investment Earnings Or Losses	111526	InvestmentEarningsOrLosses
Other Expenditures	956905	OtherExpenditures
End Of Year Balance	11324608	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15906146	BeginningOfYearBalance
Contributions	-3167621	Contributions
Investment Earnings Or Losses	274128	InvestmentEarningsOrLosses
Other Expenditures	3283996	OtherExpenditures
End Of Year Balance	9728657	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14503430	BeginningOfYearBalance
Contributions	1477127	Contributions
Investment Earnings Or Losses	356880	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	431291	OtherExpenditures
End Of Year Balance	15906146	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14479431	BeginningOfYearBalance
Contributions	1306796	Contributions
Investment Earnings Or Losses	159785	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	1442582	OtherExpenditures
End Of Year Balance	14503430	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.15000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.85000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12337152	OtherCostOrOtherBasis
Book Value	12337152	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	170897124	OtherCostOrOtherBasis
Depreciation	93211234	Depreciation
Book Value	77685890	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5464537	OtherCostOrOtherBasis
Depreciation	2543981	Depreciation
Book Value	2920556	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	678706556	OtherCostOrOtherBasis
Depreciation	400127705	Depreciation
Book Value	278578851	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4230256	OtherCostOrOtherBasis
Depreciation	4141191	Depreciation
Book Value	89065	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	371611514	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
OTHER LONG TERM LIABILITIES	$13,004,867
DUE TO AFFILIATES	$15,918,310
EST. THIRD PARTY PAYOR SETTLEMENT	$12,701,612

Field	Value	IRS element (for citing)
Total Of Amounts	41624789	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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	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, 2013 OR 2012.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (6 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
North America	Program Services	Promote Medical Care	4705
Europe (Including Iceland and Greenland)	Program Services	Promote Medical Care	5933
Sub-Saharan Africa	Program Services	Promote Medical Care	8335
East Asia and the Pacific	Program Services	Promote Medical Care	16887
South Asia	Program Services	Promote Medical Care	21279
Middle East and North Africa	Program Services	Promote Medical Care	7410

Field	Value	IRS element (for citing)
Subtotal Amount Spent	64549	SubtotalAmountSpent
Total Amount Spent	64549	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	International Activities	Identifier
Return Reference	Schedule F, Part 1	ReturnReference
Explanation	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.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	true	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Name Of IndividualNameOfIndividual	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization
Bethany Ochsner	Grant Writing	false	5000	35667	0
Gobel Philanthropy Chad Gobel	Consultant	false	0	18000	0

Field	Value	IRS element (for citing)
Total Gross Receipts	5000	TotalGrossReceipts
Total Retained By Contractors	53667	TotalRetainedByContractors
Total Net To Organization	0	TotalNetToOrganization

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	5226	PersonsServed
Total Community Benefit Expense	13862617	TotalCommunityBenefitExpense
Net Community Benefit Expense	13862617	NetCommunityBenefitExpense
Percent Of Total Expense	0.01720	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	58705	PersonsServed
Total Community Benefit Expense	99451285	TotalCommunityBenefitExpense
Direct Offsetting Revenue	71976607	DirectOffsettingRevenue
Net Community Benefit Expense	27474678	NetCommunityBenefitExpense
Percent Of Total Expense	0.03410	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	1332	PersonsServed
Total Community Benefit Expense	1877274	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1223316	DirectOffsettingRevenue
Net Community Benefit Expense	653957	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	65263	PersonsServed
Total Community Benefit Expense	115191176	TotalCommunityBenefitExpense
Direct Offsetting Revenue	73199923	DirectOffsettingRevenue
Net Community Benefit Expense	41991252	NetCommunityBenefitExpense
Percent Of Total Expense	0.05210	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	14	NumberOfActivitiesOrPrograms
Persons Served	127089	PersonsServed
Total Community Benefit Expense	2596353	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1622160	DirectOffsettingRevenue
Net Community Benefit Expense	974193	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	670	PersonsServed
Total Community Benefit Expense	17195311	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7878051	DirectOffsettingRevenue
Net Community Benefit Expense	9317260	NetCommunityBenefitExpense
Percent Of Total Expense	0.01160	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	33184828	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27440794	DirectOffsettingRevenue
Net Community Benefit Expense	5744034	NetCommunityBenefitExpense
Percent Of Total Expense	0.00710	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	3250770	TotalCommunityBenefitExpense
Direct Offsetting Revenue	662113	DirectOffsettingRevenue
Net Community Benefit Expense	2588657	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	216	PersonsServed
Total Community Benefit Expense	54840219	TotalCommunityBenefitExpense
Net Community Benefit Expense	54840219	NetCommunityBenefitExpense
Percent Of Total Expense	0.06810	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	38	NumberOfActivitiesOrPrograms
Persons Served	127975	PersonsServed
Total Community Benefit Expense	111067481	TotalCommunityBenefitExpense
Direct Offsetting Revenue	37603118	DirectOffsettingRevenue
Net Community Benefit Expense	73464363	NetCommunityBenefitExpense
Percent Of Total Expense	0.09120	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	38	NumberOfActivitiesOrPrograms
Persons Served	193238	PersonsServed
Total Community Benefit Expense	226258657	TotalCommunityBenefitExpense
Direct Offsetting Revenue	110803041	DirectOffsettingRevenue
Net Community Benefit Expense	115455615	NetCommunityBenefitExpense
Percent Of Total Expense	0.14330	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	242978	TotalCommunityBuildingExpense
Direct Offsetting Revenue	14000	DirectOffsettingRevenue
Net Community Building Expense	228978	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1000	PersonsServed
Total Community Building Expense	3959	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3959	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	452	PersonsServed
Total Community Building Expense	199067	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	199067	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	1452	PersonsServed
Total Community Building Expense	446004	TotalCommunityBuildingExpense
Direct Offsetting Revenue	14000	DirectOffsettingRevenue
Net Community Building Expense	432004	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$21,325,331	BadDebtExpenseAmount
Amount Reimbursed By Medicare	156488166	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	173487406	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-16999240	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Physicans Profit Or OwnershipPhysicansProfitOrOwnership	Organization Profit Or OwnershipOrganizationProfitOrOwnership
NEB ORTHO HOSPITAL
ORTHOPEDIC HOSPITAL	0.45940
BELLEVUE MEDICAL CTR
Acute Care Hospital	0.10080	0.67630

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup
The Nebraska Medical Center
1	987400 NEBRASKA MEDICAL CENTER	OMAHA	NE	68198	X	X	X	X	A
Bellevue Medical Center LLC
2	2500 Bellevue Medical Center Drive	Bellevue	NE	68123	X	X		X	A

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	9	NumberOfOtherFacilities

Other Facilities OtherFacilities (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Nebraska Medical Center Radiology
2727 S 144th St Ste 120	Omaha	NE	68144	Provider Based Radiology Department
Nebraska Medical Center Laboratory
2727 S 144th St 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 Point Med Center
111 N 175th Street	Omaha	NE	68118	ONCOLOGY, RADIOLOGY, PATHOLOGY TREATMENT, RADIATION ONCOLOGY Pharmacy , Treatment
NMC - Bellevue Cancer Services
2510 Bellevue Med Ctr Dr	Bellevue	NE	68123	Infusion Services Oncology Clinic
NMC Cardiology Imaging
2727 S 144th St STE 290	Omaha	NE	68144	Cardiology Imaging
NMC Bellevue Cardiology Imaging
2500 Bellevue Med Ctr Dr STE 250	Bellevue	NE	68123	Cardiology Imaging
NMC VILLAGE POINT ENDOSCOPY CENTER
111 NORTH 175TH STREET	OMAHA	NE	68118	ENDOSCOPY SERVICES
NMC - BELLEVUE CANCER SERVICES
2500 MEDICAL CENTER DRIVE RMS 224-2	BELLEVUE	NE	68123	INFUSION SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Part I, Line 3C	Not applicable as the organization does follow FPG to determine eligibility for providing fee care to low income individuals.
Part I, Line 6A	The Organization's community benefit report can be accessed at http://www.nebraskamed.com/about-us/community/community-benefit-report. Bellevue Medical Center is not a 501(c)(3) tax-exempt hospital and is therefore not required to and does not file a community benefit report.
Part I, Line 7G	Physician Clinics were included in the subsidized health services calculation resulting in additional net community benefit expense of $1,046,264.
Part I, Line 7, Column F	THE PERCENT OF CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST AS A PERCENT OF TOTAL EXPENSES LESS BAD DEBT IS 14.33%. NMC OWNS APPROXIMATELY 67% OF BMC AND THAT PERCENTAGE OF EXPENSES IS INCLUDED IN ORDER TO PROPERLY CALCULATE THE TABLE 7 PERCENTAGES. THE DENOMINATOR USED TO CALCULATE THE COST TO CHARGE RATIO IS $805,334,354.
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. 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.
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.
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.
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 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.
Part V	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. Part V, Section B, Line 3 (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: http://www.nebraskamed.com/about-us/community/community-health-needs-asses sments 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 Part V, Section B, Line 4 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 Pottawatomie County Health Departments Live Well Omaha Part V, Section B, Line 7 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 Stroke, 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: http://www.nebraskamed.com/about-us/community/community-health-needs-asses sments. BMC is majority owned by the Nebraska Medical Center (NMC). UNMC Physicians has a minority ownership. Both organizations are 501(c)(3) organizations. It was determined that the community had a need for medical services that was not currently being fulfilled. Between the two organizations they own over 80% of BMC. Part V, Section B, Line 12H 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. Part V, Section B, Line 14G 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 VI, Line 2	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.	Needs Assessment
Schedule H, Part VI, Line 3	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.	Patient Education of Eligibility for Assistance
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 2013 ESTIMATED POPULATION FOR THIS LOCAL AREA IS 697,118. THE ESTIMATED RACE BREAKDOWN OF THE POPULATION IS BELOW. WHITE NON-HISPANIC 518,009 74.3% BLACK NON-HISPANIC 69,290 9.9% ASIAN NON-HISPANIC 19,587 2.8% HISPANIC 74,398 10.7% ALL OTHERS 15,834 2.3% 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, (2008-2012) = $53,295 Persons below poverty level, percent (2008-2012) = 14.0% (74,377 based on 2012 population estimate) Sarpy County Median household income, (2008-2012) = $69,269 Persons below poverty level, percent (2008-2012) = 6.6% (10,946 based on 2012 population estimate) IN THE 2012 FISCAL YEAR, THERE WERE 12,914 MEDICAID CLAIMS IN THE LOCAL COMMUNITY AND 3,686 UNINSURED OR SELF PAY CLAIMS. OF THESE, NMC SERVED 30.4% OF THE MEDICAID CLAIMS AND 39.0% OF THE UNINSURED (OR SELF PAY).	Community Information
Schedule H, Part II and Part VI, Line 5	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. BMC ALSO HOSTS FREE MONTHLY "HEALTHY REVIEW" TALKS WHERE A PHYSICIAN GIVES AN EDUCATIONAL PRESENTATION ON VARIOUS DISEASES AND CONDITIONS. THESE INITIATIVES DEMONSTRATE BMC'S MISSION TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY BY PROVIDING A HEALING ENVIRONMENT FOCUSED ON QUALITY, COMPASSION, AND PERSONALIZED CARE ALONG WITH ITS ONGOING COMMITMENT TO CREATE A HEALTHIER COMMUNITY THROUGHOUT ITS SERVICE AREA.	Community Building Activities and Promotion of Health
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. BMC IS A HOSPITAL, HOWEVER, IT IS NOT A TAX EXEMPT ORGANIZATION, AND THEREFORE THIS QUESTION IS NOT APPLICABLE.
Schedule H, Part VI, Line 6	Neither NMC nor BMC are in an affiliated healthcare system.
Schedule H, Part VI, Line 7	NMC files a community benefit report with the Nebraska Hospital Association annually. BMC is not required to file a community benefit report in any state, but voluntarily files an annual report with the Nebraska Hospital Association.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (23 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
American Heart Association
10100 J Street Ste A	Omaha	NE	68127	135613797	501(c)(3)	13000	General Support
March of Dimes
11840 Nicholas Street	Omaha	NE	68154	131846366	501(c)(3)	7000	General Support
Salvation Army
3612 Cuming Street	Omaha	NE	68131	362167910	501(c)(3)	15000	General Support
Hope Medical Outreach Coalition
4920 S 30th Street	Omaha	NE	68107	470548990	501(c)(3)	25500	General Support
Joslyn Art Museum
2200 Dodge St	Omaha	NE	68102	470384577	501(c)(3)	50000	General Support
The Durham Western Heritage Museum
801 S 10th St	Omaha	NE	68108	470556061	501(c)(3)	75000	General support
UNMC Physicians
988101 Ne Med Ctr	Omaha	NE	681988101	470785575	501(c)(3)	28077050	Support Operations
University of Nebraska Medical Center
986800 Ne Med Ctr	Omaha	NE	681986800	470049123	GOVT	29930252	Support Operations
Board of Regents of the Univ of NE
3835 Holdrege	Lincoln	NE	68583	470049123	GOVT	6000000	General support
Clarkson College
101 S 42nd Street	Omaha	NE	681312739	363649217	501(c)(3)	1797726	General support
Mid-America Council
12401 W Maple Rd	Omaha	NE	681641853	470376545	501(c)(3)	20000	General support
Wellness Council of the Midlands
12565 W Center Rd Ste 220	Omaha	NE	68144	470642708	501(c)(3)	10000	General support
University of Nebraska Foundation
6901 Dodge Street	Omaha	NE	68198	470379839	501(c)(3)	30000	General support
Legal Aid of Nebraska
1904 Farnam St 5th Floor	Omaha	NE	68102	470483506	501(c)(3)	41643	PATIENTS LEGAL AID
Make a Wish
11926 Arbor St Ste 102	Omaha	NE	68144	470671096	501(c)(3)	7500	General support
Ronald McDonald House
620 S 38th Street	Omaha	NE	681051104	470755104	501(c)(3)	6365	General support
Harbor House (Hospice House)
7415 Cedar Street	Omaha	NE	681242367	364003095	501(c)(3)	100000	General Support
Intercultural Senior Center
2021 U Street	Omaha	NE	68107	272460810	501(c)(3)	6000	General Support
Friends of UNMC Cancer Center
985950 Ne Med Ctr	Omaha	NE	68198	470809725	501(c)(3)	9500	General Support
United Way of the Midlands
1805 Harney St	Omaha	NE	68102	470376605	501(c)(3)	8390	General Support
Clarkson Regional Health Services Inc
988145 Ne Med Ctr	Omaha	NE	681988145	470376531	501(c)(3)	6000000	General Support
Latino Center of the Midlands
4821 South 24th St	Omaha	NE	68107	237208431	501(c)(3)	9818	General Support
Heart of Ministry Center
2222 Binney Street	Omaha	NE	68110	810614816	501(c)(3)	10000	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	23	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Financial Assistance (Charity Care)	5226	40912972	Book	Charity Care
Financial Assistance (Pharmaceuticals)	475	45901	Book	Emerg Drug Fund

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Review and Approval of Charitable Contributions	Schedule I, Part I, Line 1	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
Grant Monitoring Procedures	Schedule I, Part I, Line 2	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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (28 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Lianne Stevens
VP Info Technology	195999	0	0	0	68582	0	20253	0	5472	0	290306	0	0	0
Glenn A Fosdick
President	656554	0	374000	0	647271	0	165798	0	15415	0	1859038	0	617726	0
Stephen Smith MD
Chief Medical Officer	472061	0	210000	0	128709	0	133653	0	9612	0	954035	0	108965	0
William Dinsmoor
Chief Financial Officer	418333	0	175000	0	121616	0	135242	0	7054	0	857245	0	115088	0
Joe Graham
Chief Operating Officer	391329	0	170000	0	118703	0	123741	0	14960	0	818733	0	112258	0
Rosanna Morris
Chief Nursing Officer	317231	0	140000	0	96243	0	98659	0	624	0	652757	0	90132	0
Marcel Devetten MD
Physician	204902	0	0	0	1425	0	17588	0	5879	0	229794	0	0	0
Michael D Johnson
Physician	304959	0	0	0	1206	0	10687	0	9165	0	326017	0	0	0
Randall J Hallett
Exec Dir -Development	230760	0	61115	0	13175	0	17611	0	11039	0	333700	0	0	0
Louis Burgher MD
Clarkson College President	307565	0	0	0	0	0	0	0	6642	0	314207	0	0	0
Thomas Macy
Nebraska Orthopaedic Hosp CEO	235874	0	0	0	1018	0	22125	0	13633	0	272650	0	0	0
Natale Ponticello
VP Human Resources	251912	0	37298	0	13109	0	25172	0	3569	0	331060	0	0	0
Tadd Pullin
VP Marketing and Planning	341476	0	49676	0	17993	0	74216	0	7881	0	491242	0	0	0
Theresa Franco
Exec Dir Cancer Care	227999	0	23316	0	970	0	18081	0	9609	0	279975	0	0	0
Deborah Istas
Exec Dir Neuro Sciences	229765	0	17265	0	1562	0	23977	0	2097	0	274666	0	0	0
Jorge Parodi
Exec Dir Cardio/Pulmonary	220739	0	17052	0	12508	0	20385	0	10796	0	281480	0	0	0
Ruta Davidson
Exec Dir Organ/Transplant/PC	230561	0	97112	0	1552	0	16043	0	13861	0	359129	0	0	0
Michael Powell
Exec Dir Pharmacy	197767	0	0	0	6448	0	23199	0	10625	0	238039	0	0	0
Charles Lakso
Exec Dir Radiology/Lab	219803	0	0	0	1511	0	16915	0	7447	0	245676	0	0	0
Lisa McClane
Exec Dir Women/Children	191439	0	0	0	1314	0	7751	0	3989	0	204493	0	0	0
Julie Lazure
Exec Dir Ed/Trauma.CCU	175452	0	0	0	1182	0	19237	0	10364	0	206235	0	0	0
Connie Ogden
Exec Dir Adult Acute Care	179258	0	0	0	1211	0	18760	0	2174	0	201403	0	0	0
Jana Danielson
Exec Director Revenue Cycle	187470	0	0	0	721	0	14673	0	2272	0	205136	0	0	0
Donald Futrell
Exec Dir, Fac & Clin Spc Plng	191145	0	0	0	1315	0	15883	0	11834	0	220177	0	0	0
David S Fuller
Interim, Chief Process Officer	209399	0	20000	0	25536	0	21436	0	7113	0	283484	0	0	0
Martin Carmody
FORMER BMC CEO	0	0	0	0	243225	0	0	0	0	0	243225	0	0	0
Cynthia Owen
VP Corporate Affairs	257653	0	0	0	7545	0	24928	0	1364	0	291490	0	0	0
STEVEN J WEES MD
PHYSICIAN	191930	0	51813	0	1342	0	9756	0	11821	0	266662	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENTS	THE FOLLOWING EMPLOYEES WERE TERMINATED DURING FISCAL YEAR 2013 AND RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2012: Lianne Stevens $67,901.39 Martin Carmody $243,225.00
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 the following individuals: Glenn Fosdick $617,726 William Dinsmoor $115,088 Stephen Smith $108,965 Joe Graham $112,258 Rosanna Morris $ 90,132
SCHEDULE J, PART I, LINE 5 & 6	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 Board of Directors. These metrics are inclusive of strategic, financial, operational and quality outcomes. On an annual basis, The Nebraska Medical Center Board of Directors reviews achievement of preset targets and approves incentives when warranted. These performance payments are in lieu of a typical executive's base pay. The board of directors and executives determined 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 FY12 performance were paid to the following individuals: Glenn Fosdick $374,000.00 Stephen Smith, MD $210,000.00 Joe Graham $170,000.00 William Dinsmoor $175,000.00 Rosanna Morris $140,000.00 Tadd Pullin $ 49,676.00 Randall Hallet $ 61,115.00 Nat Ponticello $ 37,298.00 Theresa Franco $ 23,316.00 Jorge Parodi $ 17,052.00 Deb Istas $ 17,265.00 Paulette Davidson $ 97,112.00 David Fuller $ 20,000.00

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
A	521440769	000000000	2010-09-28	10000000	HOSPITAL FACILITIES & EQUIPMENT	false	false	false
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
B	521440769	000000000	2003-12-10	41762267	REFUND BOND ISSUE	false	false	false
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
C	521440769	000000000	2011-06-01	10000000	HOSPITAL FACILITIES & EQUIPMENT	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	0	10002474	0	0	10002474	0	2010	false	false	true	true
B	24510000	41762267	4171305	834246	3768	36879309	1994	true	false	true	true
C	0	10000115	0	0	10000115	0	2011	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	true	true	true	true	0.00500	0.00500	false	false	false	true
B							0					true
C	false	false	true	true	true	true	0.00500	0.00500	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Exception To RebateExceptionToRebate	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Rebate Not Due YetRebateNotDueYet	No Rebate DueNoRebateDue
0
A	false	true	false	false	false	0	false	true
0
B	false	true	false	false	false	0	false	true	false	true
0
C	false	true	false	false	false	0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	BOND ISSUE - PRIVATE BUSINESS USE	Identifier
Return Reference	0	ReturnReference
Explanation	SCH. K PART III, Column B PER THE INSTRUCTIONS, THIS PART IS NOT TO BE COMPLETED FOR POST-DECEMBER 31, 2002 BOND ISSUES WHICH REFUND A PRE- JANUARY 2003 ISSUE. BOND ISSUE - PROCEEDS PART II, LINE 3, COLUMN B - THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4 -12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. PART II, LINE 4, COLUMN B THE RESERVE AMOUNT IS HIGHER THAN THE REQUIRED RESERVE DUE TO APPRECIATION OF THE INVESTMENT AT 6/30/2013.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
A	521440769	000000000	2011-12-01	52000000	HOSPITAL FACILITIES & EPIC	false	false	false
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
B	521440769	000000000	2009-04-29	10000000	HOSPITAL FACILITIES & EQUIPMENT	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	0	0	52000000	0	0	0	0	0	0	48601413	0	0	2012	false	false	false	true
B	0	0	10000000	0	0	0	0	0	0	10000000	0	0	2009	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	true	true	true	true	0.00500	0.00000	0.00500	false	false	false	true
B	false	false	true	true	true	true	0.00500	0.00000	0.00500	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Exception To RebateExceptionToRebate	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
0
A	false	true	false	false	false	0	false	true
0
B	false	true	false	false	false	0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Bruce Lauritzen
PRESIDENT 1ST NATL BANK	29150355	SUPPLIES, SERVICES, LEASE	false
Bruce Grewcock
Kiewit Construction, Pres	6314851	CONSTRUCTION SERVICES	false
Canedy Pullin Fosdick Dinsmoor
Simplywell Board Members	546692	Services, supplies, rental	false
SMITHCANEDYDINSMOORPULLINMACY
NOH LLC BOARD MEMBERS	1963589	SERVICES AND SUPPLIES	false
William Dinsmoor
WIFE IS EMPLOYEE	190766	EMPLOYMENT	false
William Dinsmoor
BROTHER IS EMPLOYEE	30822	EMPLOYMENT	false
Louis Burgher MD
DAUGHTER IS EMPLOYEE	62741	EMPLOYMENT	false
Joe B Graham
DAUGHTER IS EMPLOYEE	56901	EMPLOYMENT	false
Deb Istas
SON IS EMPLOYEE	38193	Employment	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	PART IV	ReturnReference
Explanation	1.) THE SERVICES THAT ARE PROVIDED BY FIRST NATIONAL BANK OF OMAHA CONSIST OF PURCHASED SUPPLIES AND SERVICES AND TAX EXEMPT FINANCING. THE FINANCING IS APPROXIMATELY 99% OF THE TOTAL AMOUNT OF THE TRANSACTION. 2.) THE SERVICES THAT ARE PROVIDED BY KIEWIT CONSTRUCTION CONSIST OF CONSTRUCTION CONTRACTS FOR PROJECTS THROUGHOUT THE CAMPUS. 3.) 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. 4.) THE SERVICES PROVIDED TO/FROM NOH LLC ARE COMPRISED OF RENT, SUPPLIES AND SERVICES.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	305547	NoncashContribsRptdF990
Method Of Determining Revenues	Market Value Stock	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	PART I, LINE 32B	Identifier
Explanation	TNMC USES FIRST NATIONAL BANK OF OMAHA FOR INVESTMENT SERVICES. PART OF THESE SERVICES IS TO SELL NONCASH CONTRIBUTIONS RECEIVED BY THE CORPORATION.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Members	Form 990, Part VI, Line 6	The corporation has two members, The Board of Regents of the University of Nebraska ("Board of Regents") and Clarkson Regional Health Services, Inc. ("CRHS")
Governing Body Appointment	Form 990, Part VI, Line 7a and 7b	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
Review of 990 Prior to Filing	Form 990, Part VI, Line 11B	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 link to Guidestar.org and a password after it was filed.
Monitoring and Enforcement of Board Independence	Form 990, Part VI, Line 12c	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.
Compensation of Officers, Directors and Key Employees	Form 990, Part VI, Line 15a & 15b	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 appropiate
Governing Documents, Conflict of Interest Policy, Financial Statements	Form 990, Part VI, Line 19	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.
Business and Family Relationships	Form 990, Part VI, Line 2	Mr. Bruce Grewcock and Mr. Mogens Bay have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Mr. Glenn Fosdick, Dr. James Canedy and Mr. Tadd Pullin have a business relationship (through board of directors relationship). Dr. Marlin Stahl and Dr. James Canedy have a business relationship (through board of directors relationship). Mr. Joe Graham, Mr. William Dinsmoor, Dr. Marlin Stahl, Ms. Ruta Davidson, and Mr. Charles Lakso have a business relationship. MR. GLENN FOSDICK, MR. WILLIAM DINSMOOR, MR. JOE GRAHAM, AND DR. STEPHEN SMITH HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP). Mr. William Dinsmoor, Dr. James Canedy, Mr. Thomas Macy, Mr. Joe Graham, Dr. Stephen Smith, and Dr. Marlin Stahl have a business relationship (through board of directors relationship). Mr. William Dinsmoor and Dr. James Canedy have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Mr. Tadd Pullin, Mr. Tom Macy, and Dr. Stephen Smith have a business relationship (through board of directors relationship). MR. MOGENS BAY AND MR. J.B. MILLIKEN HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP).
OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D	Neuroology 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 will advance 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. In addition, U.S. News and World Report surveyed the nation's roughly 5,000 hospitals to come up with this year's list of Best Hospitals. Fewer than 150 of those hospitals are nationally ranked. Of the 16 specialties studied by U.S. News and World Report, The Nebraska Medical Center was recognized in 9, including Neurology and Neurosurgery. During fiscal year 2013, Neurosciences incurred over 2,900 inpatients with over 13,700 patient days and over 15,800 outpatient billing units Approximately 67% 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 5,000 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. 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 2013, The Nebraska Medical Center opened the most comprehensive weight management program in the region, designed and directed by physicians who specialize in medical weight management and bariatric surgery. In partnership with UNMC, The Nebraska Medical Center also embarked on the construction of the Fred & Pamela Buffett Cancer Center, the largest single project ever on campus. The project will be completed in 2016 and scheduled to open in early 2017.
RECONCILIATION OF NET ASSETS	990, PART XI, LINE 9	Change in Noncontrolling Interest (431,786) Equity Changes in Subs. 1,087,263 Change in Pension Accts 14,019,666 Net Assets Released (552,082) Clarkson College Net Income (1,352,242) Clarkson College Fund Balance 264,980 Investment in ACA (36,342) Investment in Midlands Choice 685,000 Total 13,684,457

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Community Hospital Association
PO Box 107 405 East Main St	Fairfax	MO	64446	440537826	Acute Care	MO	501(c)(3)	Line 4	NMC	true
Community Healthcare Foundation Inc
PO Box 107 405 East Main St	Fairfax	MO	64446	431757553	Financial Sup	MO	501(c)(3)	Line 4	Com Hosp Asc	true
NHS Clarkson Hospital Service League
988145 Nebraska Medical Center	Omaha	NE	68198	476028036	Support TNMC	NE	501(c)(3)	L11,TypeIII	NA	false
Clarkson College
101 South 42nd Street	Omaha	NE	68131	363649217	College	NE	501(c)(3)	LINE 2	NMC	true

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Bellevue Med Ctr
2500 BMC Dr	BELLEVUE	NE	68123	204305186	Acute Care	NE	NMC	Related	-408804	28909942	false	$0	true	0.67630
ACA LLC
8511 WEST DODGE ROAD	OMAHA	NE	68114	271784907	HEALTHCARE	NE	NH PARTNERS	related	-169099	174966	false	$0	false	0.50000
NC LAB LLC
8303 DODGE STREET	OMAHA	NE	68114	461173104	DIAGNOSTIC SVC	NE	NMC	RELATED	0	0	false	$0	true	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
NHS Orthopaedic Services Inc
988145 Nebraska Medical Center	Omaha	NE	681988145	470845238	Investment Sv	NE	NMC	C Corp	3263798	14711410	1.00000	true
Nebraska Health Partners Inc
988145 Nebraska Medical Center	Omaha	NE	681988145	470816463	Management	NE	NMC	C Corp	740078	3367522	1.00000	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
CLARKSON COLLEGE
b	1797726	BOOK
BELLEVUE MEDICAL CENTER
d	21313822	BOOK
BELLEVUE MEDICAL CENTER
j	24416222	BOOK
CLARKSON COLLEGE
j	11840781	BOOK
BELLEVUE MEDICAL CENTER
L	3926752	BOOK
CLARKSON COLLEGE
L	1724985	BOOK
NEBRASKA HEALTH PARTNERS INC
O	327767	BOOK