THE NEBRASKA MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THE NEBRASKA MEDICAL CENTER (EIN 91-1858433)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201301359349306175
Schema version: 2011v1.5
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	2013-05-15T13:47:10-05:00	Timestamp
Tax Period End Date	2012-06-30	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	Two Central Park Plaza Suite 1501	AddressLine1
City	Omaha	City
State	NE	State
ZIP Code	681021626	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	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
City	OMAHA	City
State	NE	State
ZIP Code	681988145	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Mr William S Dinsmoor	Name
Title	CFO	Title
Date Signed	2013-05-13	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	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	840161320	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	6664	TotalNbrEmployees
Total Nbr Volunteers	754	TotalNbrVolunteers
Total Gross UBI	3542981	TotalGrossUBI
Contributions Grants Prior Year	4883380	ContributionsGrantsPriorYear
Contributions Grants Current Year	6021010	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	806885872	ProgramServiceRevenuePriorYear
Program Service Revenue CY	803756761	ProgramServiceRevenueCY
Investment Income Prior Year	9701522	InvestmentIncomePriorYear
Investment Income Current Year	8473453	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2313503	OtherRevenuePriorYear
Other Revenue Current Year	10826695	OtherRevenueCurrentYear
Total Revenue Prior Year	823784277	TotalRevenuePriorYear
Total Revenue Current Year	829077919	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	112191862	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	114453911	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	311803326	SalariesEtcPriorYear
Salaries Etc Current Year	311005305	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	60461	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	70742	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1235932	TotalFundrsngExpCurrentYear
Other Expense Prior Year	359840820	OtherExpensePriorYear
Other Expenses Current Year	377138177	OtherExpensesCurrentYear
Total Expenses Prior Year	783896469	TotalExpensesPriorYear
Total Expenses Current Year	802668135	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	39887808	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	26409784	RevenuesLessExpensesCY
Total Assets BOY	751131232	TotalAssetsBOY
Total Assets EOY	797174434	TotalAssetsEOY
Total Liabilities BOY	209367333	TotalLiabilitiesBOY
Total Liabilities EOY	242689546	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	541763899	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	554484888	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	153420323	Expense
Grants	25730513	Grants
Revenue	176159074	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 certified by the National Cancer Institute. In addition to treatment and clinical trials The Corporation offers support groups, social work, pain management, legal and survivorship programs as 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 of excellent cancer care closer to patient homes. In addition, as one of the busiest programs in the world, the Bone Marrow Transplantation program served 162 patients in the year ended June 30, 2012. 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 patients overall well-being. During fiscal year 2012, the Oncology Service Line incurred over 80,000 cases and almost 21,000 patient days. Approximately 46% of the net revenue was derived from inpatient cases.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	95254006	Expense
Grants	19348779	Grants
Revenue	100691166	Revenue
Description	Cardiovascular Service Line The Corporation provides a wide range of cardiology 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. This year, U.S. News and World Report recognized our Cardiovascular Program as a "high performing" program and ranked us 105th out of almost 1000 hospitals in the country. The hospital treats patients from the surrounding region and in the year ended June 30, 2012, approximately 350 open heart surgeries were performed, 24 heart transplants and 23 mechanical circulatory system devices implantations were performed. During fiscal year 2012, the Cardiovascular Service Line incurred over 3,100 inpatient discharges, 15,000 patient days and 38,000 out-patient services. Approximately 65% of the net revenue was derived from inpatient cases.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	76810470	Expense
Grants	10164821	Grants
Revenue	83408474	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, 2012, the Corporation performed 278 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 2012, the Solid Organ Transplantation Service Line incurred over 24,440 cases and 14,700 patient days. Approximately 84% of the revenue was derived from inpatient cases.	Description

Activity Other ActivityOther (2 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
69267881	13348924	71947838	Neurolgy Service Line
405036038	45860874	377064014	Other Program Services

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	474303919	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	59209798	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	449011852	TotalOfOtherProgramServiceRev
Total Program Service Expense	799788718	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	true	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	459	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	6664	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	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	true	Form8282PropertyDisposedOf
Number Of8282 Filed	2	NumberOf8282Filed
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 (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	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	X	X
Mogens C Bay
Vice Chairman	1.0	X	X
Jan Thayer
Secretary	1.0	X	X
Bruce Grewcock
Treasurer	1.0	X	X
Duane W Acklie
Member	1.0	X
James T Canedy
Member	1.0	X
Nancy Keegan
Member	1.0	X
Ronald Hollins MD
Member	1.0	X
Harold Maurer MD
Member	1.0	X
Gail Walling Yanney MD
Member	1.0	X
James Young
Member	1.0	X
Marlin G Stahl MD
Member	1.0	X
James B Milliken
Secretary	1.0	X	X
Bradley E Britigan
Member	1.0	X
Glenn A Fosdick
President	55.0		X	1283564	0	162997
Stephen Smith MD
Chief Medical Officer	55.0		X	849886	0	137233
William Dinsmoor
Chief Financial Officer	55.0		X	713066	0	133585
Joe Graham
Chief Operating Officer	55.0		X	705363	0	130134
Rosanna Morris
Chief Nursing Officer	55.0		X	534430	0	93330
Randall J Hallett
Exec Dir -Development	55.0			293052	0	25047	X
Louis Burgher MD
Clarkson College President	55.0			294453	0	6437	X
Thomas Macy
Nebraska Orthopaedic Hosp CEO	55.0			228045	0	32486	X
Natale Ponticello
VP Human Resources	55.0			287851	0	30531	X
Tadd Pullin
VP Marketing and Planning	55.0			366489	0	32632	X
Cynthia Owen
VP Corporate Affairs	55.0			260711	0	24779	X
Lianne Stevens
VP Information Technology	55.0			204893	0	30027	X
Theresa Franco
Exec Dir Cancer Care	55.0			257922	0	29917	X
Deborah Istas
Exec Dir Neuro Sciences	55.0			248796	0	25940	X
Jorge Parodi
Exec Dir Cardio/Pulmonary	55.0			256603	0	31816	X
Ruta Davidson
BMC CEO	55.0			242111	0	25014	X
Michael Powell
Exec Dir Pharmacy	55.0			203067	0	33763	X
Charles Lakso
Exec Dir Radiology/Lab	55.0			207458	0	23123	X
Edwin Dickinsen
Exec Dir Perioperative	55.0			187433	0	15924	X
Lisa McClane
Exec Dir Women/Children	55.0			184123	0	13043	X
Connie Ogden
Exec Dir Adult Acute Care	55.0			172943	0	18691	X
David S Fuller
Chief Process Officer	55.0			225071	0	28161	X
Deepak Madhavan MD
Physician	55.0			243832	0	21500		X
Marcel Devetten MD
Physician	55.0			268389	0	22826		X
Antonio Reyes MD
Physician	55.0			267956	0	29071		X
Michael D Johnson MD
Physician, Surgery	55.0			283771	0	10780		X
Martin Carmody
Former Bellevue Med Center CEO	55.0			307240	0	20846			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9578518	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1189633	TotalOtherCompensation
Number Individuals GT100 K	258	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	16732730
KIEWIT BUILDING GROUP
3921 MASON ST	OMAHA	NE	68105	CONSTRUCTION	7483939
CARDINAL HEALTH
5840 F STREET	OMAHA	NE	68117	MANAGEMENT FEE	7393154
UNMC
984290 NE MED CTR	OMAHA	NE	681984290	MEDICAL SERVICES	15952791
EPIC Systems Corporation
1979 Milky Way	VERONA	WI	53593	IT SERVICES/EHR	4518487

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	135	NumberOfContractorsGT100K
Fundraising Events	483468	FundraisingEvents
Government Grants	831944	GovernmentGrants
All Other Contributions	4705598	AllOtherContributions
Noncash Contributions	1269523	NoncashContributions
Total Contributions	6021010	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	790725021	790725021
LAB ADMINISTRATION	900099	4971846	4971846
REMOTE PHARMACY SERVICES	446110	4359825	4084659	275166
LIED HOSPITALITY	900099	999472	999472
5N Pediatrics ICU	900099	819374	819374

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1881223	TotalRevenueColumn
Related Or Exempt Function Income	1881223	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	803756761	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8659655	TotalRevenueColumn
Exclusion	$8,659,655	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	3614731	Real
Personal	566651	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3614731	Real
Personal	566651	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	4181382	TotalRevenueColumn
Unrelated Business Revenue	2227375	UnrelatedBusinessRevenue
Exclusion	$1,954,007	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	10588163	Securities
Other	76812	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	10765247	Securities
Other	85930	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-177084	Securities
Other	-9118	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-186202	TotalRevenueColumn
Exclusion	-$186,202	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	45128	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	483468	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	232224	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-187096	TotalRevenueColumn
Exclusion	-$187,096	ExclusionAmount

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	2920562	2920562
CHILD CARE	446110	785492	785492
OTHER SERVICES	541900	370000	20000	350000

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2756355	TotalRevenueColumn
Related Or Exempt Function Income	2065915	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	690440	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	6832409	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	829077919	TotalRevenueColumn
Related Or Exempt Function Income	809273564	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3542981	UnrelatedBusinessRevenue
Exclusion	$10,240,364	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	68777047	Total
Program Services	68777047	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	45676864	Total
Program Services	45676864	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	8906522	Total
Program Services	8581846	ProgramServices
Fundraising	324676	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	243398490	Total
Program Services	243045143	ProgramServices
Fundraising	353347	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	18460724	Total
Program Services	18431370	ProgramServices
Fundraising	29354	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	22933546	Total
Program Services	22914008	ProgramServices
Fundraising	19538	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	17306023	Total
Program Services	17270019	ProgramServices
Fundraising	36004	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	803617	Total
Management And General	803617	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	839868	Total
Management And General	839868	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	61121	Total
Program Services	61121	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	70742	Total
Fundraising	70742	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	304695	Total
Program Services	304695	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	49818365	Total
Program Services	49739459	ProgramServices
Fundraising	78906	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3695194	Total
Program Services	3695194	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5163686	Total
Program Services	5115293	ProgramServices
Fundraising	48393	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	5845003	Total
Program Services	5845003	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	836373	Total
Program Services	817458	ProgramServices
Fundraising	18915	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	440949	Total
Program Services	436469	ProgramServices
Fundraising	4480	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2544711	Total
Program Services	2544711	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	42101344	Total
Program Services	42092367	ProgramServices
Fundraising	8977	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4962192	Total
Program Services	4962192	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising
MEDICAL AND CLINICAL EXPENSE	152233497	152233448	49
BAD DEBT EXPENSE	48379658	48379658
OTHER UNMC/UNMC-P	10691356	10691148	208
MAINTENANCE/GROUNDS UPKEEP	17774389	17739176	35213

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	30642159	Total
Program Services	30435029	ProgramServices
Fundraising	207130	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	802668135	Total
Program Services	799788718	ProgramServices
Management And General	1643485	ManagementAndGeneral
Fundraising	1235932	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	23239179	BOY
EOY	41697888	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	183084543	BOY
EOY	185577791	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	612000	BOY
EOY	410396	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	106014314	BOY
EOY	101354366	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	3730695	BOY
EOY	3085245	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3895068	BOY
EOY	4232728	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5415658	BOY
EOY	9157216	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	826620006	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	460181918	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	337355555	BOY
EOY	366438088	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	46132731	BOY
EOY	47532017	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	9450811	BOY
EOY	9053596	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	32200678	BOY
EOY	28635103	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	751131232	BOY
EOY	797174434	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	101599446	BOY
EOY	115099905	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	53843114	BOY
EOY	67544073	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	7863256	BOY
EOY	15031181	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	46061517	BOY
EOY	45014387	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	209367333	BOY
EOY	242689546	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	532051096	BOY
EOY	543173579	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8633836	BOY
EOY	9692282	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1078967	BOY
EOY	1619027	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	541763899	BOY
EOY	554484888	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	751131232	BOY
EOY	797174434	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	26409784	ReconcilationRevenueExpenses
Reconcilation Other Changes	-13688795	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$61,121	OtherActivitiesAmount
Total Lobbying Expenditures IIB	61121	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 amounts paid to Radcliffe & Associates (Law Firm) 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	9728658	BeginningOfYearBalance
Contributions	2441330	Contributions
Investment Earnings Or Losses	111526	InvestmentEarningsOrLosses
Other Expenditures	956905	OtherExpenditures
End Of Year Balance	11324609	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.14000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.86000	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	170860549	OtherCostOrOtherBasis
Depreciation	89324156	Depreciation
Book Value	81536393	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5464537	OtherCostOrOtherBasis
Depreciation	2043714	Depreciation
Book Value	3420823	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	633773841	OtherCostOrOtherBasis
Depreciation	364702388	Depreciation
Book Value	269071453	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4183927	OtherCostOrOtherBasis
Depreciation	4111660	Depreciation
Book Value	72267	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	366438088	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
OTHER LONG TERM LIABILITIES	$10,829,138
DUE TO AFFILIATES	$18,970,975
EST. THIRD PARTY PAYOR SETTLEMENT	$15,214,274

Field	Value	IRS element (for citing)
Total Of Amounts	45014387	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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, 2012 OR 2011.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
North America	Program Services	Promote Medical Care	878
Sub-Saharan Africa	Program Services	Promote Medical Care	3653
South Asia	Program Services	Promote Medical Care	18981
Middle East and North Africa	Program Services	Promote Medical Care	19204

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	42716	SubtotalAmountSpent
Total Amount Spent	42716	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 (3 entries)

Name Of IndividualNameOfIndividual	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization
Bethany Ochsner	Grant Writing	false	248350	30157	218193
Cheryl Sacco	Grant Writing	false		6367
Gobel Philanthropy Chad Gobel	Consultant	false		34218

Field	Value	IRS element (for citing)
Total Gross Receipts	248350	TotalGrossReceipts
Total Retained By Contractors	70742	TotalRetainedByContractors
Total Net To Organization	218193	TotalNetToOrganization

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Polo	NameOfEvent1
Gross Receipts Event1	528596	GrossReceiptsEvent1
Charitable Contributions Event1	483468	CharitableContributionsEvent1
Gross Revenue Event1	45128	GrossRevenueEvent1
Non Cash Prizes Event1	2868	NonCashPrizesEvent1
Rent Facility Costs Event1	123987	RentFacilityCostsEvent1
Food And Beverage Event1	32209	FoodAndBeverageEvent1
Entertainment Event1	29608	EntertainmentEvent1
Other Direct Expenses Event1	43552	OtherDirectExpensesEvent1
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	528596	GrossReceiptsTotal
Charitable Contributions Total	483468	CharitableContributionsTotal
Gross Revenue Total Events	45128	GrossRevenueTotalEvents
Non Cash Prizes Total Events	2868	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	123987	RentFacilityCostsTotalEvents
Food And Beverage Total Events	32209	FoodAndBeverageTotalEvents
Entertainment Total Events	29608	EntertainmentTotalEvents
Other Direct Expenses Total Events	43552	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	232224	DirectExpenseSummaryEvents
Net Income Summary	-187096	NetIncomeSummary

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	6395	PersonsServed
Total Community Benefit Expense	14673046	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	14673046	NetCommunityBenefitExpense
Percent Of Total Expense	0.01840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	59280	PersonsServed
Total Community Benefit Expense	108135684	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79374842	DirectOffsettingRevenue
Net Community Benefit Expense	28760841	NetCommunityBenefitExpense
Percent Of Total Expense	0.03600	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	1504	PersonsServed
Total Community Benefit Expense	2091297	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1336958	DirectOffsettingRevenue
Net Community Benefit Expense	754340	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	67179	PersonsServed
Total Community Benefit Expense	124900027	TotalCommunityBenefitExpense
Direct Offsetting Revenue	80711800	DirectOffsettingRevenue
Net Community Benefit Expense	44188227	NetCommunityBenefitExpense
Percent Of Total Expense	0.05530	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	14	NumberOfActivitiesOrPrograms
Persons Served	126261	PersonsServed
Total Community Benefit Expense	377327	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	377327	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	633	PersonsServed
Total Community Benefit Expense	12611472	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7993563	DirectOffsettingRevenue
Net Community Benefit Expense	4617909	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	27759836	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23966087	DirectOffsettingRevenue
Net Community Benefit Expense	3793749	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	4450744	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2204337	DirectOffsettingRevenue
Net Community Benefit Expense	2246407	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	53892991	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29325	DirectOffsettingRevenue
Net Community Benefit Expense	53863666	NetCommunityBenefitExpense
Percent Of Total Expense	0.06740	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	35	NumberOfActivitiesOrPrograms
Persons Served	126894	PersonsServed
Total Community Benefit Expense	99092370	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34193312	DirectOffsettingRevenue
Net Community Benefit Expense	64899058	NetCommunityBenefitExpense
Percent Of Total Expense	0.08120	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	35	NumberOfActivitiesOrPrograms
Persons Served	194073	PersonsServed
Total Community Benefit Expense	223992397	TotalCommunityBenefitExpense
Direct Offsetting Revenue	114905112	DirectOffsettingRevenue
Net Community Benefit Expense	109087285	NetCommunityBenefitExpense
Percent Of Total Expense	0.13650	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	25000	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	25000	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	235144	TotalCommunityBuildingExpense
Direct Offsetting Revenue	32000	DirectOffsettingRevenue
Net Community Building Expense	203144	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	400	PersonsServed
Total Community Building Expense	393112	TotalCommunityBuildingExpense
Direct Offsetting Revenue	192000	DirectOffsettingRevenue
Net Community Building Expense	201112	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	400	PersonsServed
Total Community Building Expense	653256	TotalCommunityBuildingExpense
Direct Offsetting Revenue	224000	DirectOffsettingRevenue
Net Community Building Expense	429256	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$20,215,666	BadDebtExpenseAmount
Amount Reimbursed By Medicare	158862736	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	179966162	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-21103426	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	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
NEB ORTHO HOSPITAL
ORTHOPEDIC HOSPITAL	0.00000	0.00000	0.42440
BELLEVUE MEDICAL CTR
Acute Care Hospital	0.67730	0.00000	0.10630

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
The Nebraska Medical Center
1	987400 Nebraska Medical Center	Omaha	NE	681987400	X	X	X	X
Bellevue Medical Center LLC
2	2500 MEDICAL CENTER DRIVE	BELLEVUE	NE	68123	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
The Nebraska Medical Center
1	true	true	200.	true	400.	true	X	X	X	X	true	true	X	X	true	false	true	X	false	false
Bellevue Medical Center LLC
2	true	true	200.	true	400.	true	X	X	X	X	true	true	X	X	true	false	true	X	false	false

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, 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 (18 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/newroom/community. 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 $1,737,182.
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 13.65%. BAD DEBT EXPENSE OF $48,379,658 INCLUDED IN THE FUNCTIONAL EXPENSE TOTAL PART IX, LINE 25 IS NOT INCLUDED IN THE TOTAL OPERATING EXPENSE USED TO CALCULATE THE TABLE 7 PERCENTAGES. 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 $799,394,759.
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 III, Line 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 fiscal year 2012 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 4% 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 ancillary services are designated as hospital-based and included on our license. 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.
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 77% of our inpatient and outpatient discharges and visits. The 2012 estimated population for this local area is 692,221. The estimated race breakdown of the population is below. White Non-Hispanic 511,490 73.9% Black Non-Hispanic 66,512 9.6% Asian Non-Hispanic 18,173 2.6% Hispanic 75,581 10.9% All Others 20,465 3.0% 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.) The average household income was $52,929 in Douglas County with 70,658 (13.3%) below poverty and $69,018 average household income in Sarpy County with 9,951 (6.0%) below poverty levels. Statistics by county for the rest of the state can be obtained here: http://www.neded.org/files/research/stathand/ksect10.htm 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 many 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 also encourages 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.
Schedule H, Part V	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.	Section B, Line 11h
Schedule H, Part V	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.	Section B, Line 13g

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (31 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
American Heart Association
10100 J Street Ste A	Omaha	NE	68127	135613797	501(c)(3)	25300	General Support
March of Dimes
11840 Nicholas Street	Omaha	NE	68154	131846366	501(c)(3)	7750	General Support
Lutheran Family ServicesAt Ease
124 S 24th Street	Omaha	NE	68102	237267972	501(c)(3)	24390	General Support
Salvation Army
3612 Cuming St	Omaha	NE	68131	362167910	501(c)(3)	15000	General Support
University of Nebraska Medical Center
986800 Ne Med Ctr	Omaha	NE	681986800	470049123	GOVT	29807915	SUPPORT OPERATIONS
Hope Medical Outreach Coalition
4920 S 30th Street	Omaha	NE	68107	470548990	501(c)(3)	27000	General Support
Project Harmony
7110 F Street	Omaha	NE	68117	470789054	501(c)(3)	10000	General Support
United Cerebral Palsy Foundation
920 S 107th Ave Ste 302	Omaha	NE	68114	470534212	501(c)(3)	9100	General Support
Greater Omaha Chamber Foundation
1301 Harney Street	Omaha	NE	68102	470633685	501(c)(3)	25000	General Support
Leukemia and Lymphoma Society
10832 Old Mill Rd Ste 2	Omaha	NE	68154	135644916	501(c)(3)	7500	General support
Joslyn Art Museum
2200 Dodge St	Omaha	NE	68102	470384577	501(c)(3)	50000	General Support
University Hospital Auxiliary
987509 Ne Med Ctr	Omaha	NE	681987509	470591991	501(c)(3)	13350	General support
The Durham Western Heritage Museum
801 S 10th St	Omaha	NE	68108	470556061	501(c)(3)	50000	General support
Clarkson College
101 S 42nd Street	Omaha	NE	681312739	363649217	501(C)(3)	3027692	General Support
Board of Regents of the Univ of NE
3835 Holdrege	Lincoln	NE	68583	470049123	GOVT	6000000	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)	5489	General support
UNMC Physicians
988101 Ne Med Ctr	Omaha	NE	681988101	470785575	501(c)(3)	23429652	Support Operations
University of Nebraska Foundation
6901 Dodge Street	Omaha	NE	68198	470379839	501(c)(3)	30000	Fund #1105240, Sharing Clinic 2011&2012
Legal Aid of Nebraska
1904 Farnam St Ste 500	Omaha	NE	68102	470483506	501(c)(3)	24964	PATIENTS LEGAL AID
Make a Wish
11926 Arbor St Ste 102	Omaha	NE	68144	470671096	501(c)(3)	7500	General support
Omaha Symphony
1605 Howard St	Omaha	NE	68102	476039304	501(c)(3)	75000	General Support
Impact One Community Connection
2415 Grant Street	Omaha	NE	68111	270318102	501(c)(3)	12500	General Support
United Way of the Midlands
1805 Harney Street	Omaha	NE	68102	470376605	501(c)(3)	10175	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 S 24th Street	Omaha	NE	68107	237208431	501(c)(3)	10000	General Support
AMerican Cancer Society Relay for Life
9850 Nicholas Street	Omaha	NE	68114	741185665	501(c)(3)	11000	General Support
Heart of Ministry Center
2222 Binney Street	Omaha	NE	68110	810614816	501(c)(3)	9770	General Support
Charles Drew Health Center
2915 Grant Street	Omaha	NE	68111	470666715	501(c)(3)	5500	General Support
Omaha Children's Museum
500S 20th Street	Omaha	NE	68102	470594056	501(c)(3)	5500	General Support
Campaign for Nebraska
2285 South 67th Street STE 200	Omaha	NE	68106	470379839	501(c)(3)		General Support	20000	FMV	ULTRASOUND MACHINE

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	30	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Financial Assistance (Charity Care)	6395	44957428	Book	Charity Care
Financial Assistance (Pharmaceuticals)	654	101386	Book	Emerg Drug Fund
Financial Assistance (Renal-Indigent Patients)	8	618050	FMV	INDIGENT DIALYSIS

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 it 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	false	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 (27 entries)

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
Glenn A Fosdick
639386	0	467000	0	177178	0	156024	0	14818	0	1454406	0	146090	0
Stephen Smith MD
462092	0	278000	0	109794	0	131475	0	9146	0	990507	0	93147	0
William Dinsmoor
405947	0	231000	0	76119	0	129280	0	6724	0	849070	0	68243	0
Joe Graham
380529	0	225000	0	99834	0	119388	0	10746	0	835497	0	93253	0
Rosanna Morris
303297	0	135000	0	96133	0	93330	0	624	0	628384	0	89846	0
Deepak Madhavan MD
242090	0	0	0	1742	0	16212	0	5693	0	265737	0	0	0
Marcel Devetten MD
257485	0	9006	0	1898	0	15388	0	7438	0	291215	0	0	0
Antonio Reyes MD
266778	0	0	0	1178	0	19813	0	9258	0	297027	0	0	0
Martin Carmody
168769	0	12161	0	126310	0	16727	0	4798	0	328765	0	0	0
Michael D Johnson MD
282425	0	0	0	1346	0	2231	0	8885	0	294887	0	0	0
Randall J Hallett
221074	0	58765	0	13213	0	18139	0	10325	0	321516	0	0	0
Louis Burgher MD
294453	0	0	0		0	0	0	6437	0	300890	0	0	0
Thomas Macy
226958	0		0	1087	0	21045	0	11808	0	260898	0	0	0
Natale Ponticello
239486	0	35692	0	12673	0	28438	0	4151	0	320440	0	0	0
Tadd Pullin
317481	0	47537	0	1471	0	25580	0	7695	0	399764	0	0	0
Cynthia Owen
247160	0		0	13551	0	23805	0	974	0	285490	0	0	0
Lianne Stevens
203934	0	0	0	959	0	23119	0	6908	0	234920	0	0	0
Theresa Franco
222959	0	22814	0	12149	0	19936	0	9981	0	287839	0	0	0
Deborah Istas
224636	0	22524	0	1636	0	24969	0	2477	0	276242	0	0	0
Jorge Parodi
216520	0	22247	0	17836	0	22667	0	10278	0	289548	0	0	0
Ruta Davidson
208906	0	31671	0	1534	0	14071	0	12083	0	268265	0	0	0
Michael Powell
197692	0	0	0	5375	0	23418	0	14813	0	241298	0	0	0
Charles Lakso
205982	0		0	1476	0	15045	0	8078	0	230581	0	0	0
Edwin Dickinsen
186550	0	0	0	883	0	7878	0	11454	0	206765	0	0	0
Lisa McClane
182776	0	0	0	1347	0	10042	0	4508	0	198673	0	0	0
Connie Ogden
171702	0	0	0	1241	0	18691	0	2086	0	193720	0	0	0
David S Fuller
200509	0		0	24562	0	21253	0	6908	0	253232	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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: William Dinsmoor $68,243 Stephen Smith, MD $93,147 Joe Graham $93,253 Rosanna Morris $89,846 Glenn Fosdick $146,090
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 FY11 performance were paid to the following individuals: Glenn Fosdick $467,000 Stephen Smith, MD $278,000 Joe Graham $225,000 William Dinsmoor $231,000 Rosanna Morris $135,000 Tadd Pullin $ 47,537 Randall Hallett $ 58,765 Natale Ponticello $ 35,692 Theresa Franco $ 22,814 Jorge Parodi $ 22,247 Deborah Istas $ 22,524 Ruta Davidson $ 31,671 Marcel Devetten $ 9,006 Martin Carmody $ 12,161

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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
521440769	000000000	2010-09-28	10000000	Hospital Facilities & Equipment	false	false	false
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
521440769	000000000	2003-12-10	41712290	Refund Bonds issued 8/22/1991	false	false	false
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
521440769	000000000	2008-05-05	10000000	Hospital Facilities & Equipment	false	false	false
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
521440769	000000000	2011-06-01	10000000	HOSPITAL FACILITIES & EQUIPMENT	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

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
10002474	0	0	10002474	0	2010	false	false	true	true
41712290	4171707	834246	3768	36829408	1994	true	false	true	true
10026478	0	0	10026478	0	2009	false	false	true	true
10000115	0	0	10000115	0	2011	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

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	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	true	true	true	true	0.00500	0.00000	0.00500	true
						0.00000	0.00000	0.00000
false	false	true	true	true	true	0.00500	0.00000	0.00500	true
false	false	true	true	true	true	0.00500		0.00500	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	true
0
false	false	false	false	0	false	true
0
false	false	false		0	false	true
0
false	false	false	false	0	false	true

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
OTHER SPENT PROCEEDS	0	PART II LINE 11, COLUMN B THIS IS THE ISSUE PRICE, LESS SALE PROCEEDS DEPOSITED IN THE RESERVE FUND (NET OF AMOUNT FROM THE PRIOR 1991 BONDS PRINCIPAL AND INTEREST OF 48,753.61 & 77,607.08 ) AND USED TO PAY COSTS OF ISSUANCE AND INTEREST ON THE 2003 BONDS ($3,768 ROUNDING AMT).
BOND ISSUE - PRIVATE BUSINESS USE	0	SCH. K PART III PER THE INSTRUCTIONS, THIS PART IS NOT TO BE COMPLETED FOR POST-DECEMBER 21, 2002 BOND ISSUES WHICH REFUND A PRE- JANUARY 2003 ISSUE.
Bond Issue - PROCEEDS	0	PART II, LINE 4, COLUMN B THE RESERVE AMOUNT IS HIGHER THAN THE REQUIRED RESERVE DUE TO APPRECIATION OF THE INVESTMENT AT 6/30/2012.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

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
521440769	000000000	2011-12-01	27111201	Hosptial Facilities and EPIC	false	false	false
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
521440769	000000000	2009-04-29	10000000	HOSPITAL FACILITIES & EQUIPMENT	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

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
0	0	27111201	0	0	0	0	0	0	27111201	0	0	2012	false	false	false	true
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)

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	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	true	true	true	true	0.00500	0.00500	true
false	false	true	true	true	true	0.00500	0.00500	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	true
0
false	false	false	false	0	false	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Bond Issue	Identifier
Return Reference	0	ReturnReference
Explanation	PART II, COLUMN A, LINE 3 THIS AMOUNT REPRESENTS A DRAW DOWN OF FINANCING. ALL AMOUNTS DRAWN WERE SPENT ON THE PROJECT. PART II, COLUMN A, LINE 16 THIS AMOUNT REPRESENTS A DRAWDOWN OF FINANCING. THE FUNDS WERE SPENT, BUT IT IS NOT THE FINAL ALLOCATION OF FUNDS.	Explanation

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	27282717	Supplies, Services, Lease	false
Bruce Grewcock
President of Kiewit Const	13042986	CONSTRUCTION SERVICES	false
Canedy Pullin Fosdick Dinsmoor
Simplywell Board Members	581751	Services, supplies, rental in	false
SMITHCANEDYDINSMOOrPULLINMACY
NOH LLC BOARD MEMBERS	1931329	SERVICES and supplies	false
William Dinsmoor
WIFE IS EMPLOYEE	176488	EMPLOYMENT	false
William Dinsmoor
BROTHER IS EMPLOYEE	28373	EMPLOYMENT	false
Louis Burgher
DAUGHTER IS EMPLOYEE	51806	EMPLOYMENT	false
Joe Graham
DAUGHTER IS EMPLOYEE	41585	EMPLOYMENT	false
Deborah Istas
Son IS EMPLOYEE	14992	Employment	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSCATIONS 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	1269523	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
Number Of8283 Received	0	NumberOf8283Received
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 32A	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 (11 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 copy of the 990 with the Schedule B redacted from the tax form 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 AT LEAST ONCE EVERY THREE YEARS 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 COMPETITITVE ASSESSMENTS WITH PEER ORGANIZATIONS AND NATIONAL TRENDS. THE FOLLOWING IS A BRIEF SUMMARY OF THE CONSULTANT'S WORK: Fact Finding: Collect pertinent information about NMC and its executive total compensation programs (salaries, incentive award levels, benefits and prerequisites). Analysis of Total Compensation: Using NMC's existing compensation philosophy as the basis of the study, analyze all elements of the Executive Compensation Program, both individually and in aggregate. Using a proprietary database and published surveys, compare NMC compensation and benefit program and practices to those in its national peer group of organizations similar in size and complexity. Present a Written Report to the Compensation Committee which summarizes: 1)Best practices and regulatory requirements for governing executive pay 2)Competitive analysis of the cash compensation program 3)Competitive analysis of the levels and provisions of the benefit program 4)Opportunities for strengthening the program 5)Recommendations, as appropriate Present a Written Report to the Compensation Committee which summarizes: 1)Best practices and regulatory requirements for governing executive pay 2)Competitive analysis of the cash compensation program 3)Competitive analysis of the levels and provisions of the benefit program 4)Opportunities for strengthening the program 5)Recommendations, as appropriate
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 (through board of directors 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	Neurology 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. The Nebraska Medical Center is ranked in Neurology and Neurosurgery at #40. During fiscal year 2012, Neurology incurred over 19,000 cases and almost 13,000 patient days. Approximately 70% 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 Corporation is the largest health care facility in the state with more than 5,000 employees and over 1,000 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 Corporation also has one of the few biocontainment units in the United States equipped to safely care for those exposed to highly contagious, dangerous diseases. The 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. During fiscal year 2012, all other hospital services incurred over 240,000 cases and approximately 73,000 patient days. Approximately 70% of the revenue was derived from inpatient cases.
RECONCILIATION OF NET ASSETS	990, PART XI, LINE 5	Change in Noncontrolling Interest 641,821 Equity Changes in Subs. 2,346,549 Change in Pension Accts (12,006,245) Change in Unreal Loss Invstmts (1,752,915) Net Assets Released (571,456) Clarkson College Net Income (1,389,607) Change in Clarkson Coll Fund Bal (956,943) Total (13,688,796)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Nancy Keegan TITLE:Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Bradley E Britigan TITLE:Member HOURS:1

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

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Bellevue Med Ctr	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2500 BMC Dr	AddressLine1
City	BELLEVUE	City
State	NE	State
ZIP Code	68123	ZIPCode

Field	Value	IRS element (for citing)
EIN	204305186	EIN
Primary Activity	Acute Care	PrimaryActivity
Legal Domicile State	NE	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeType
Share Of Total Income	-1303360	ShareOfTotalIncome
Share Of EOY Assets	29699973	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	true	GeneralOrManagingPartner
Percentage Ownership	0.67730	PercentageOwnership

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
NHS Orthopaedic Services Inc
988145 Nebraska Medical Center	Omaha	NE	681988145	470845238	Investment Sv	NE	NMC	C Corp	4369905	12329052	1.00000
Nebraska Health Partners Inc
987400 Nebraska Medical Center	Omaha	NE	691987400	470816463	Management	NE	NMC	C Corp	203258	0	1.00000

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
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	3027692	BOOK
BELLEVUE MEDICAL CENTER
d	19437788	BOOK
BELLEVUE MEDICAL CENTER
i	22633798	BOOK
CLARKSON COLLEGE
i	10953399	BOOK
BELLEVUE MEDICAL CENTER
k	3021459	BOOK
Clarkson College
k	1822372	Book
NEBRASKA HEALTH PARTNERS
N	59203	BOOK