2012-05-15T16:51:49-05:00 2011-06-30 KPMG LLP Two Central Park Plaza Suite 1501 Omaha NE 681021626 990 2010-07-01 911858433 THE NEBRASKA MEDICAL CENTER NEBR 4025594000 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 MR WILLIAM S DINSMOOR 2012-05-07 true 4023481450 2010 2016-02-24 21:20:13Z WILLIAM DINSMOOR 987400 NEBRASKA MEDICAL CENTER OMAHA NE 681987400 833406425 false X www.nebraskamed.com X 1997 NE 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. 12 8 6885 720 2731004 -160142 5252479 4883380 823012074 806885872 8123522 9701522 518255 2313503 836906330 823784277 101620339 112191862 0 0 313995701 311803326 45139 60461 1335852 375304987 359840820 790966166 783896469 45940164 39887808 731070671 751131232 224250558 209367333 506820113 541763899 X 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. true false 141908152 24661070 168546344 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 145 patients in the year ended June 30, 2011. 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 2011, the Oncology Service Line incurred over 76,000 cases and almost 22,000 patient days. Approximately 49% of the net revenue was derived from inpatient cases. 91816454 18353214 100036730 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. This year The Joint Commission certified our Mechanical Circulatory Support program as a Destination Therapy program. The hospital treats patients from the surrounding region and in the year ended June 30, 2011, approximately 360 open heart surgeries were performed, 16 heart transplants and 12 mechanical circulatory system devices implantations were performed. During fiscal year 2011, the Cardiovascular Service Line incurred over 3,300 inpatient discharges, 15,000 patient days and 34,000 out-patient services. 73383335 9959717 85780334 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, 2011, the Corporation performed 255 solid organ transplants including liver, kidney, heart, pancreas and small bowel. The success of the Corporations 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 2011, the Solid Organ Transplantation Service Line incurred over 25,000 cases and 14,000 patient days. Approximately 80% of the revenue was derived from inpatient cases. 68258606 11367162 73773280 Neurolgy Service Line 405347628 47850699 376299096 Other Program Services 473606234 59217861 450072376 780714175 true true false true false false true false true true false false false true true false true false false true false false true false false true true true true true true false false false false false false false false true true false true false false false true true true false false true 516 0 true 6885 true true true false false false false false false false false false X 12 8 true false false false true true true true true false false false true true true true true true true true false X STEPHANIE DAUBERT 4025522889 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 X Bruce R Lauritzen 1.0 X X 0 0 0 Mogens C Bay 1.0 X X 0 0 0 Jan Thayer 1.0 X X 0 0 0 Bruce Grewcock 1.0 X X 0 0 0 Duane W Acklie 1.0 X 0 0 0 James T Canedy 1.0 X 0 0 0 Randolph Ferlic MD 1.0 X 0 0 0 Ronald Hollins MD 1.0 X 0 0 0 Harold Maurer MD 1.0 X 0 0 0 Gail Walling Yanney MD 1.0 X 0 0 0 James Young 1.0 X 0 0 0 Marlin G Stahl MD 1.0 X 0 0 0 James B Milliken 1.0 X 0 0 0 Glenn A Fosdick 55.0 X 1091290 0 161121 Stephen Smith MD 55.0 X 819910 0 121656 William Dinsmoor 55.0 X 704088 0 101027 Joe Graham 55.0 X 663317 0 118964 Rosanna Morris 55.0 X 405280 0 91307 Randall J Hallett 55.0 X 267547 0 14979 Louis Burgher MD 55.0 X 282407 0 3402 Martin Carmody 55.0 X 253370 0 24612 Thomas Macy 55.0 X 218561 0 23650 Natale Ponticello 55.0 X 239116 0 23927 Tadd Pullin 55.0 X 324221 0 22345 Cynthia Owen 55.0 X 251747 0 21905 Lianne Stevens 55.0 X 198743 0 26669 Theresa Franco 55.0 X 226984 0 22613 Deborah Istas 55.0 X 216270 0 20310 Jorge Parodi 55.0 X 208791 0 23149 Ruta Davidson 55.0 X 232116 0 21765 Michael Powell 55.0 X 199938 0 26706 Charles Lakso 55.0 X 195130 0 16614 Edwin Dickinsen 55.0 X 181281 0 10667 Lisa McClane 55.0 X 177294 0 8710 Julie Lazure 55.0 X 169321 0 24459 Connie Ogden 55.0 X 165874 0 16400 Deepak Madhavan MD 55.0 X 237746 0 4265 Lon Keim MD 55.0 X 236231 0 0 Steven J Wees MD 55.0 X 239512 0 10901 Marcel Devetten MD 55.0 X 242394 0 7115 Antonio Reyes MD 55.0 X 292029 0 17880 8940508 0 987118 211 false true false UNMC PHYSICIANS 988101 NE MED CTR OMAHA NE 681988101 MEDICAL SERVICES 13999718 KIEWIT BUILDING GROUP 3921 MASON ST OMAHA NE 68105 CONSTRUCTION 6176736 CARDINAL HEALTH 5840 F STREET OMAHA NE 68117 MANAGEMENT FEE 6906578 UNMC 984290 NE MED CTR OMAHA NE 681984290 MEDICAL SERVICES 17816305 COHR DBA MATERPLAN 9582 TOPANGA CANYON BLVD CHATSWORTH CA 91311 BIOMED ENGINEERING 4416106 124 780586 4102794 8710 4883380 NET PATIENT REVENUE 900099 793046437 793046437 LAB ADMINISTRATION 900099 4729447 4729447 REMOTE PHARMACY SERVICES 446110 4271486 4198465 73021 LIED HOSPITALITY 900099 985813 985813 MEDICAL COMMUNICATION CENTER 900099 908977 908977 2943712 2943712 806885872 9585572 9585572 0 0 3009885 577085 3009885 577085 3586970 1554383 2032587 9267748 470350 9570407 51741 -302659 418609 115950 115950 0 0 0 INTEREST IN BMC LLC 900099 -7978346 -7978346 ENVIRONMENTAL SERVICES 900099 2862523 2862523 CHILD CARE 446110 969898 573905 395993 2872458 2164851 707607 -1273467 823784277 804435784 2731004 11734109 71994616 71994616 40197246 40197246 0 0 8407718 8111996 295722 0 246218956 245808572 410384 20859251 20838690 20561 18455903 18444004 11899 17861498 17825794 35704 0 834285 834285 1012157 1012157 91121 91121 60461 60461 263403 263403 50640004 50587195 52809 4111978 4110686 1292 5211710 5113747 97963 0 0 6021111 6021111 992216 968906 23310 0 385031 380227 4804 2382725 2382725 0 39585540 39576563 8977 3070947 3070947 MEDICAL AND CLINICAL EXPENSE 148570107 148570107 BAD DEBT EXPENSE 47104022 47104022 OTHER UNMC/UNMC-P 4826781 4826757 24 MAINTENANCE/GROUNDS UPKEEP 17819209 17790355 28854 EQUIPMENT RENTALS/LEASES 9890786 9840206 50580 17027687 16795179 232508 783896469 780714175 1846442 1335852 83165847 23239179 111029968 183084543 5657700 612000 104721279 106014314 2687911 3730695 4034455 3895068 5221653 5415658 763624395 426268840 327620376 337355555 47677391 46132731 16659533 9450811 22594558 32200678 731070671 751131232 79490678 101599446 48797236 53843114 12197726 7863256 83764918 46061517 224250558 209367333 X 489338655 532051096 15743500 8633836 1737958 1078967 506820113 541763899 731070671 751131232 X 39887808 -4944022 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 91121 91121 false Schedule C, Part II-B, Line 1I Lobbying Expenses This amount consists of hospital lobbying dues paid through annual dues of the National and State Hospital Associations and amounts paid to Radcliffe & Associates and Bromm & Associates, llc (Law Firms) for lobbying. 630351 X false 15906146 -3167621 274128 3283996 9728657 14503430 1477127 356880 0 431291 15906146 14479431 1306796 159785 0 1442582 14503430 0.11000 0.89000 false false 12337152 12337152 170860550 85306236 85554314 972152 638892 333260 575270615 336255725 239014890 4183926 4067987 115939 337355555 0 OTHER LONG TERM LIABILITIES 5807673 DUE TO AFFILIATES 24982270 EST. THIRD PARTY PAYOR SETTLEMENT 15271574 MINORITY INTEREST 0 46061517 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, 2011 OR 2010. North America 0 0 Program Services Promote Medical Care 3495 Sub-Saharan Africa 0 0 Program Services Promote Medical Care 16650 South Asia 0 0 Program Services Promote Medical Care 8800 Middle East and North Africa 0 0 Program Services Promote Medical Care 16000 0 0 0 0 44945 44945 false false false false false false International Activities Schedule F, Part 1 INTERNATIONAL ACTIVITIES INCLUDE TRAVEL TO THESE REGIONS FOR MARKETING AND PROMOTION OF INTERNATIONAL PROGRAM OF THE NEBRASKA MEDICAL CENTER INCLUDING PATIENT CARE, TRAINING, AND EDUCATION X X X X X true Bethany Ochsner 802 N 66TH ST OMAHA NE 68132 Grant Writing false 47100 24871 22229 Integrity Writing Services Kathy Ga GRANT WRITING false 0 8460 0 Cheryl Sacco PO BOX 460845 PAPILLION NE 68046 Grant Writing false 17000 6420 10580 Gobel Philanthropy Chad Gobel 2 STATE STREET ROCHESTER NY 14614 Consultant false 0 20710 0 64100 60461 32809 true true X true X true X true true true false true true 7523 12782299 0 12782299 0.01630 103204941 82342238 20862703 0.02660 1743252 1339730 403522 0.00050 7523 117730492 83681968 34048524 0.04340 16 126595 2871133 2360426 510707 0.00070 10 287 11400174 7429550 3970624 0.00510 5 8 14321984 9181182 5140802 0.00660 1 0 6648045 3751627 2896418 0.00370 9 2587 57340592 43225 57297367 0.07310 41 129477 92581928 22766010 69815918 0.08920 41 137000 210312420 106447978 103864442 0.13260 1 70000 0 70000 0.00010 1 258191 38000 220191 0.00030 5 504 394822 160000 234822 0.00030 704 0 704 7 504 723717 198000 525717 0.00070 true 16923431 145893670 164385060 -18491390 X true true NEB ORTHO HOSPITAL ORTHOPEDIC HOSPITAL 0.00000 0.00000 0.48140 BELLEVUE MEDICAL CTR Acute Care Hospital 0.62310 0.00000 0.11840 2 1 The Nebraska Medical Center

987400 Nebraska Medical Center Omaha NE 681987400

X X X X 2 BELLEVUE MEDICAL CENTER LLC

2500 MEDICAL CENTER DRIVE BELLEVUE NE 68123

X X X The Nebraska Medical Center 1 BELLEVUE MEDICAL CENTER LLC 2 7 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 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 $2,142,226. Part I, Line 7, Column F The percent of charity care and certain other community benefits at cost as a percent of total expenses less bad debt is 14.097%. 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 2010 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 Needs Assessment NMC uses disease incidence and prevalence data, leading causes of death, community health status research and supply and demand analysis to assess the health care needs of the communities it serves. Schedule H, Part VI, Line 3 Patient Education of Eligibility for Assistance NMC and BMC employ Financial Counselors, Customer Service Staff and Collection Staff, all of whom are trained in assisting our patients with resolution of patient liability. Depending upon individual patient needs, payment arrangements or financial assistance may be offered to assist our customers with resolution of patient balances. Additionally, the organization works with our self pay population to pursue coverage through state, federal or local programs. Our patients have access to information pamphlets which are available at all points of entry within the organization including but not limited to the Emergency Department and Patient Registration. Charity Care Policy: This policy outlines the guidelines Patient Financial Services (PFS) will use to ensure adequate and appropriate follow up is completed in order for qualifying patients to receive charity care. PFS will work with patients to find payment solutions when available. This policy is written to ensure a fair and comprehensive system of distributing charity care to financially burdened patients within the available resources of NMC in a manner that does not discriminate based on race, creed, color, sex, national origin, religion or age. Policy: A. Charity care is available when all other recovery sources have been exhausted. B. Charity care is provided to patients who have demonstrated inability to meet their financial obligation to NMC. C. Charity care will not be approved for elective and/or cosmetic care. D. Charity care may be approved in the instance of catastrophic care as defined. 1. This could be occasioned by a personal catastrophe or unavoidable crisis affecting an individual who would otherwise be able to pay for service, or a person who has income above poverty level but is still not able to pay the entire cost of service. 2. A patient generally may qualify for catastrophic charity care in instances where the patient liability is in excess of 25% of annual household income. E. All transplant and IRP patients must meet with a Transplant Financial Counselor to secure financial clearance. Transplant and IRP patients must pass financial screening (ACCESS-FIC-082) or must be approved via the Transplant Variance Policy (FN 21) Charity approval for other services prior to consideration for transplant does not meet this requirement. F. Prior approval for charity care does not apply for future elective or cosmetic procedures. GUIDELINES A. Identification process 1) The hospital maintains a separate policy in order to assure compliance with the emergency medical treatment and active labor act (EMTALA) and a separate patient rights and organizational ethics policy. This charity care policy is subject to the terms of those policies. 2) Financial counselors authorized by NMC will identify patients requiring financial screening. B. Verification of Insurance Eligibility and Benefits 1) The patient will execute an assignment of insurance benefits on behalf of the hospital. 2) Verification of eligibility, benefits, and payer source will be performed in a timely manner according to patient finance and access services departmental procedures. C. Financial Counseling 1) Financial Counselors and contracted vendors will assist patients requiring financial assistance. 2) Financial Counselors and vendors will assist patients in seeking reimbursement from local, state, and federal programs when there is no other source of payment as well as assisting patients with applications or making appointments to qualify for government programs. 3) Patients are responsible for follow up meetings with an agency that may provide financial resources for health care services. Charity assistance may be terminated at any time due to non compliance with this expectation. Schedule H, Part VI, Line 4 Community Information We serve many communities, international, regional, state and local Omaha. The statistics below describe our "local" Omaha community defined as Douglas and Sarpy counties in Nebraska. This local area represents approximately 77% of our inpatient and outpatient discharges and visits. The 2011 estimated population for this local area is 686,350. The estimated race breakdown of the population is below. White Non-Hispanic 522,549 76.1% Black Non-Hispanic 64,301 9.4% Asian Non-Hispanic 15,941 2.3% Hispanic 65,279 9.5% All Others 18,280 2.7% There are nine 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, 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 $49,944 in Douglas County with 63,394 (12.8%) below poverty and $67,541 average household income in Sarpy County with 7,996 (5.3%) 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 2010 calendar year, there were 16,048 Medicaid claims in the local community and 4,479 uninsured or self pay claims. Of these, TNMC served 30.0% of the Medicaid claims and 35.3% of the uninsured (or self pay Schedule H, Part II and Part VI, Line 5 Community Building Activities and Promotion of Health NMC recognizes the community benefit of addressing root causes of poor health in order to improve community health. The hospital participated in several community building activities throughout the past year designed to address these root causes. Included in this total are the hospital's efforts to support the Mid-America Hospital Alliance (MAHA); an alliance of rural and critical access hospitals in the region of which the hospital is a founding member. The hospital spends time coordinating resources to ensure smaller, rural hospitals can have access to the expertise and services of a large Academic Medical Center. NMC provides Human Resource consulting services to help these smaller institutions address widespread health care workforce shortages in rural areas. The hospital's community building activities also include programs intended to drive entry into health careers and nursing practice. Many hospital staff members give educational presentations on the health professions and provide mock interview training to area students. NMC also provides many job shadowing opportunities to undergraduate students who wish to explore the health careers, as well as an annual "Look to the Future" event for fourth graders from one of the hospital's adopted schools. 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. 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. 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. true American Heart Association 10100 J Street Ste A Omaha NE 68127 135613797 501(c)(3) 40000 General Support March of Dimes 11840 Nicholas Street Omaha NE 68154 131846366 501(c)(3) 21500 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) 19000 General Support 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) 9520 General Support United Cerebral Palsy Foundation 920 S 107th Ave Ste 302 Omaha NE 68114 470534212 501(c)(3) 6800 General Support Omaha Development Foundation 1301 Harney Street Omaha NE 68102 470629134 501(c)(3) 16650 General Support Greater Omaha Chamber Foundation 1301 Harney Street Omaha NE 68102 470633685 501(c)(3) 45000 General Support Joslyn Art Museum 2200 Dodge St Omaha NE 68102 470384577 501(c)(3) 50000 General Support Cristo Rey Work Study Program 5301 S 36th St Omaha NE 68107 300348099 501(c)(3) 13060 General Support Board of Regents of the Univ of NE 3835 Holdrege Lincoln NE 68583 470049123 GOVT 6000000 General support Clarkson College 101 S 42nd Street Omaha NE 681312739 363649217 501(c)(3) 3608298 General support Mid-America Council 12401 W Maple Rd Omaha NE 681641853 470376545 501(c)(3) 10000 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) 26640874 Support Operations University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 29238071 Support operations Legal Aid of Nebraska 1904 Farnam St Ste 500 Omaha NE 68102 470483506 501(c)(3) 24964 PATIENTS LEGAL AID American Diabetes Association 14216 Dayton Circle Ste 6 Omaha NE 68137 131623888 501(c)(3) 10000 General support Make a Wish 11926 Arbor St Ste 102 Omaha NE 68144 860481941 501(c)(3) 7500 General support Meyer Foundation 985440 NE MED CTR Omaha NE 68198 392011488 501(C)(3) 6000 General Support Ronald McDonald House 620 S 38th Street Omaha NE 681051104 470755104 501(c)(3) 5500 General support Voices for Children in Nebraska 7521 Main St Ste 103 Omaha NE 68127 363528940 501(C)(3) 15000 General Support Urban League of Nebraska 3040 Lake Street Omaha NE 68111 470384575 501(c)(3) 10000 General Support Harbor House (Hospice House) 7415 Cedar Street Omaha NE 681242367 364003095 501(c)(3) 40000 General Support Omaha Symphony 1605 Howard St Omaha NE 68102 476039304 501(c)(3) 75000 General Support Greater Omaha Economic Development Partnership 1301 Harney Street Omaha NE 68102 470633685 501(c)(3) 25000 General Support Clarkson Regional Health Services Inc 988145 NE MED CTR Omaha NE 681988145 470376531 501(c)(3) 6000000 General Support 28 0 Financial Assistance (Charity Care) 7523 39648833 Book Charity Care Financial Assistance (Pharmaceuticals) 2192 105763 Book Emerg Drug Fund Financial Assistance (Renal-Indigent Patients) 8 442650 FMV INDIGENT DIALYSIS 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. X true true X X X X X X false true false true false true false false false Glenn A Fosdick 623312 0 445000 0 22978 0 154366 0 14255 0 1259911 0 0 0 Stephen Smith MD 441190 0 265000 0 113720 0 117827 0 3829 0 941566 0 93020 0 William Dinsmoor 368025 0 220000 0 116063 0 96072 0 7264 0 807424 0 88117 0 Joe Graham 369058 0 215000 0 79259 0 110860 0 11747 0 785924 0 72742 0 Rosanna Morris 289126 0 110000 0 6154 0 91307 0 624 0 497211 0 0 0 Deepak Madhavan MD 236003 0 0 1743 0 0 4601 0 242347 0 0 0 Lon Keim MD 236231 0 0 0 0 0 0 0 0 0 236231 0 0 0 Steven J Wees MD 192793 0 45281 0 1438 0 2260 0 10849 0 252621 0 0 0 Marcel Devetten MD 240669 0 0 0 1725 0 0 7115 0 249509 0 0 0 Antonio Reyes MD 290637 0 0 0 1392 0 7234 0 10646 0 309909 0 0 0 Randall J Hallett 223469 0 37114 0 6964 0 8288 0 7417 0 283252 0 0 0 Louis Burgher MD 282407 0 0 0 0 3402 0 285809 0 0 0 Martin Carmody 251482 0 0 1888 0 17202 0 8767 0 279339 0 0 0 Thomas Macy 217521 0 0 1040 0 13324 0 10675 0 242560 0 0 0 Natale Ponticello 237959 0 0 1157 0 22850 0 3006 0 264972 0 0 0 Tadd Pullin 322658 0 0 1563 0 15510 0 7382 0 347113 0 0 0 Cynthia Owen 250525 0 0 1222 0 20801 0 1104 0 273652 0 0 0 Lianne Stevens 197812 0 0 931 0 19978 0 6691 0 225412 0 0 0 Theresa Franco 225870 0 0 1114 0 15723 0 6890 0 249597 0 0 0 Deborah Istas 214704 0 0 1566 0 19347 0 2470 0 238087 0 0 0 Jorge Parodi 207245 0 0 1546 0 14179 0 9811 0 232781 0 0 0 Ruta Davidson 199879 0 30749 0 1488 0 14330 0 8575 0 255021 0 0 0 Michael Powell 195468 0 3000 0 1470 0 16665 0 13009 0 229612 0 0 0 Charles Lakso 193718 0 0 1412 0 11998 0 4616 0 211744 0 0 0 Edwin Dickinsen 179941 0 0 1340 0 2838 0 11237 0 195356 0 0 0 Lisa McClane 176065 0 0 1229 0 7747 0 1875 0 186916 0 0 0 Julie Lazure 167996 0 0 1325 0 16534 0 9035 0 194890 0 0 0 Connie Ogden 164627 0 0 1247 0 16400 0 2097 0 184371 0 0 0 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 $88,117 Stephen Smith $93,020 Joe Graham $72,742 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 FY10 performance were paid to the following individuals: Glenn Fosdick $445,000.00 Stephen Smith, MD $265,000.00 Joe Graham $215,000.00 William Dinsmoor $220,000.00 Rosanna Morris $110,000.00 Hospital Auth NO 2 of Douglas County NE 521440796 000000000 2003-12-10 41712290 Refund bonds issued 8/22/1991 false false false Hospital Auth NO 2 of Douglas County NE 521440796 000000000 2010-09-28 10000000 Hospital facilities and equipm false false false Hospital Auth NO 2 of Douglas County NE 521440796 000000000 2007-05-23 10000000 Hospital facilities and equipm false false false Hospital Auth NO 2 of Douglas County NE 521440796 000000000 2008-05-05 10000000 Hospital facilities and equipm false false false 41712290 4171284 834246 3768 36829408 1994 true false true true 10002474 10002474 2010 false false true true 10101537 10101537 false false true true 10026478 10026478 false false true true false false false false false 0.00000 0.00000 0.00000 true false false true true true 0.00000 0.00000 0.00000 true false false true true true 0.00000 0.00000 0.00000 true false false true true true 0.00000 0.00000 0.00000 true false false false false false true false false false false true false false false false true false false false false true Other Spent Proceeds Part II Line 11, Column A 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 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. Total Proceeds Part II, Line 3 The total proceeds on Part II, line 3 is larger than the issue price on Part I, column (e) because Line 3 includes earnings on the escrows that held the funds prior to spending on capital projects. Bruce Lauritzen Chairman PRESIDENT 1ST NATL BANK 124809 SERVICES AND SUPPLIES false B Grewcock and M Bay Officers PKS President, Board Memb 15587116 CONSTRUCTION SERVICES false CanedyFosdick Dinsmoor Pullin B Simplywell Board Members 586245 Services, supplies rental false SMITHCANEDYDINSMOORGRAHAMPULLIN NOH LLC BOARD MEMBERS 2382311 Sale/loan svs and supplies false William S Dinsmoor CFO WIFE IS EMPLOYEE 168596 EMPLOYMENT false William S Dinsmoor CFO BROTHER IS EMPLOYEE 30730 EMPLOYMENT false Louis Burgher MD College Presiden DAUGHTER IS EMPLOYEE 51292 EMPLOYMENT false Joe B Graham Officer DAUGHTER IS EMPLOYEE 56297 EMPLOYMENT false Randolph Ferlic MD Board member DAUGHTER IS EMPLOYEE 141051 Employment false Canedy Stahl board members PPA Board members 181962 Services and Supplies false X 20 8710 Cost 0 false true false 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. Instructions were provided to the Board of Directors for accessing the Form 990 online via www.guidestar.org. Monitoring and Enforcement of Board Independence Form 990, Part VI, Line 12c Each member of the Board of Directors, Officers and Key Employees discloses annually that he/she is either an Officer, Director, Member, Owner, Agent or associated in some manner with delineated business entities that either have or might reasonably be expected to have a business relationship with NMC. Each Board Member agrees to make conflicts known and withdraw from participation in deliberations if a subsequent conflict arises. Disclosure statements are distributed annually and monitored by the corporate compliance officer for completion. Any disclosed conflicts are brought to the attention of the Chairman of the Board for Board Members and Officers or to the Officers for Key Employees. Compensation of Officers, Directors and Key Employees Form 990, Part VI, Line 15a & 15b Senior Executive compensation is governed through the by-laws for NMC. In accordance with provisions set forth in the by-laws for NMC, an Executive Compensation Committee is appointed by the Board of Directors. The Board of Directors engages a third party consultant to provide comparable data for review of executive salaries, assess the overall compensation and benefit package and provide advice to the Executive Compensation Committee on compensation and regulatory matters. The Committee reviews the data and recommendations provided by the consultant which is based on competitive assessments with peer organizations and national trends. The following is a brief summary of the consultant's work: Fact Finding: Collect pertinent information about NMC and its executive total compensation programs (salaries, incentive award levels, benefits and prerequisites). Analysis of Total Compensation: Using NMC's existing compensation philosophy as the basis of the study, analyze all elements of the Executive Compensation Program, both individually and in aggregate. Using a proprietary database and published surveys, compare NMC compensation and benefit program and practices to those in its national peer group of organizations similar in size and complexity. Present a Written Report to the Compensation Committee which summarizes: 1)Best practices and regulatory requirements for governing executive pay 2)Competitive analysis of the cash compensation program 3)Competitive analysis of the levels and provisions of the benefit program 4)Opportunities for strengthening the program 5)Recommendations, as 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 Bruce Grewcock and 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. Martin Carmody have a business relationship. Dr. Marlin Stahl, 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. Natale Ponticello, 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, and Dr. Stephen Smith have a business relationship (through board of directors relationship). OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D Neurosciences 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. For the third year in a row, The Corporation has earned the American Heart Association/American Stroke Association's Get With The Guidelines Stroke Gold Plus Achievement Award. Get With The Guidelines is a hospital-based, quality-improvement program designed to ensure hospitals consistently care for cardiac and stroke patients following the most up-to-date guidelines and recommendations. The Corporation also hosts the only young adult stroke support group to address the emotion and physical challenges of recovering from stroke. During fiscal year 2011, Neurosciences 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 2011, 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 Noncontrolling Interest (9,164,832) Equity Changes in Subs. 2,851,989 Change in Pension Accts 15,420,936 Change in Unreal Loss Invstmts 2,924,807 Net Assets Released (1,766,332) Other 19,324 Write-off Pledge Rec (5,000,000) Clarkson College Net Income (1,645,309) Clarkson College Fund Balance (8,584,604) Total (4,944,022) FORM 990, PART III, LINE 2 BELLEVUE MEDICAL CENTER (BMC) IS MAJORITY OWNED BY THE NEBRASKA MEDICAL CENTER. IT WAS DETERMINED THAT THE COMMUNITY HAD A NEED FOR MEDICAL SERVICES THAT WAS NOT CURRENTLY BEING FULFILLED in and around the Bellevue, NE area. Therefore, a new Bellevue hospital was developed and built. The Bellevue hospital is structured through a partnership, of which BMC has implemented policies of The Nebraska Medical Center to ensure all patients in need receive care. Therefore, BMC carries out The Nebraska Medical Center's healthcare mission. ORGANIZATIONS exempt under 501(C)(3) OWN OVER 80% OF BMC LLC. Community Hospital Association PO Box 107 405 East Main St Fairfax MO 64446 440537826 Acute Care MO 501(C)(3) Line 4 NMC 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 NHS Clarkson Hospital Service League 988145 Nebraska Medical Center Omaha NE 68198 476028036 Support TNMC NE 501(C)(3) L11,TypeIII NA Clarkson College 101 South 42nd Street Omaha NE 68131 363649217 College NE 501(C)(3) LINE 2 NMC Bellevue Med Ctr 2500 BMC Dr BELLEVUE NE 68123 204305186 Acute Care NE NA RELATED -9321952 30760657 false 0 false 0.62305 NHS Orthopaedic Services Inc 988145 Nebraska Medical Center Omaha NE 681988145 470845238 Investment Sv NE NA C Corp 5025338 14787373 1.00000 Nebraska Health Partners Inc 987400 Nebraska Medical Center Omaha NE 681987400 470816463 Management NE NA C Corp 0 0 1.00000 false true true true false false false false true true true false true true false false false false CLARKSON COLLEGE B 3608298 BELLEVUE MEDICAL CENTER D 23118932 BELLEVUE MEDICAL CENTER I 25155148 CLARKSON COLLEGE K 1178031 BELLEVUE MEDICAL CENTER K 3093830 CLARKSON COLLEGE I 10172055