THE NEBRASKA MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: THE NEBRASKA MEDICAL CENTER (EIN 91-1858433)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-16
IRS object ID: 202221369349309787
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-16T14:08:57-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	911858433	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	NEBR	BusinessNameControlTxt
Phone	4025594000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE DAUBERT	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2022-05-16	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	STEPHANIE	PersonFirstNm
Person Last	DAUBERT	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,852,667,162	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NEBRASKAMED.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	The Nebraska Medical Center (TNMC)'s mission is to lead the world in transforming lives to create a healthy future for individuals and communities through premier educational programs, innovative research, and extraordinary patient care.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	10440	TotalEmployeeCnt
Total Volunteers	623	TotalVolunteersCnt
Total Gross UBI	$3,730,128	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$430,807	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$70,267,424	PYContributionsGrantsAmt
CY Contributions Grants	$59,294,118	CYContributionsGrantsAmt
PY Program Service Revenue	$1,426,317,370	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,594,975,650	CYProgramServiceRevenueAmt
PY Investment Income	$9,397,744	PYInvestmentIncomeAmt
CY Investment Income	$49,196,175	CYInvestmentIncomeAmt
PY Other Revenue	$124,150,539	PYOtherRevenueAmt
CY Other Revenue	$149,201,219	CYOtherRevenueAmt
PY Total Revenue	$1,630,133,077	PYTotalRevenueAmt
CY Total Revenue	$1,852,667,162	CYTotalRevenueAmt
PY Grants And Similar Paid	$335,764,475	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$329,572,486	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$524,434,053	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$552,534,135	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$430,475	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$449,245	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$623,306	CYTotalFundraisingExpenseAmt
PY Other Expenses	$719,297,997	PYOtherExpensesAmt
CY Other Expenses	$796,813,767	CYOtherExpensesAmt
PY Total Expenses	$1,579,927,000	PYTotalExpensesAmt
CY Total Expenses	$1,679,369,633	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,206,077	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$173,297,529	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,200,629,584	TotalAssetsBOYAmt
Total Assets EOY	$2,150,779,133	TotalAssetsEOYAmt
Total Liabilities BOY	$1,182,108,173	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$958,019,993	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,018,521,411	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,192,759,140	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The Nebraska Medical Center (TNMC)'s mission is to lead the world in transforming lives to create a healthy future for individuals and communities through premier educational programs, innovative research, and extraordinary patient care.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$272,650,339	ExpenseAmt
Grant	$53,715,515	GrantAmt
Revenue	$342,224,327	RevenueAmt
Desc	Oncology Service Line Cancer treatment services offered by the corporation include treatment of lymphoma, leukemia, multiple myeloma, head and neck, breast, gastrointestinal, pancreatic, lung, genitourinary prostate, gynecologic, melanoma, brain, and spine cancers. The patients are supported by research that is conducted on the University of Nebraska Medical Center (UNMC) campus. The Nebraska Medical Center (TNMC) is the only clinical cancer center in its service area designated by the national cancer institute. In addition to treatment and clinical trials, TNMC offers support groups, social work, pain management, financial counselors, survivorship groups, genetic counseling, and a variety of additional patient supportive services. In June 2017, TNMC opened the Fred and Pamela Buffett Cancer Center. The center is jointly owned with UNMC, and it is one of the foremost cancer research and treatment facilities in the country. It is the site of inpatient hospital care, as well as outpatient and diagnostic care. UNMC's facilities, within the center, house research labs. TNMC operates cancer treatment locations in Bellevue, NE; West Omaha, NE; and in Shenandoah, IA. In addition, as one of the busiest programs in the world, the bone marrow transplantation program served 220 patients in the year ended June 30, 2021. A 24/7 emergency and evaluation treatment center are dedicated to cancer and transplants. The program benefits from the research conducted on TNMC/UNMC campuses. TNMC was one of the first cancer centers in the nation to participate in clinical trials for CAR-T cell therapy. It was FDA-Approved in October 2017. The therapy treatment was extended to leukemia patients in 2018 and multiple myeloma patients in 2019. During fiscal year 2021, the oncology service line treated 120,090 cases.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$227,330,861	ExpenseAmt
Grant	$44,787,013	GrantAmt
Revenue	$273,049,003	RevenueAmt
Desc	Neurological Sciences Service Line The core services include precise diagnosis and treatment of stroke and vascular disease, movement and memory disorders, multiple sclerosis brain and spinal tumors, spine as well as epilepsy. The epilepsy center is the only level four center in the region and treats patients from the State of Nebraska and surrounding region. The Nebraska Medical Center (TNMC) has one of the few magnetoencephalography (MEG) scanners and trained MEG scientists in the region. The MEG can detect brain activity in much greater detail and with more accuracy than previous methods and advances patient care and research opportunities. In July 2018, TNMC opened the Twin Creek Health Center, a dedicated neurological sciences ambulatory clinic in Bellevue, NE. TNMC has earned the American Heart Association/American Stroke Association's Get with the Guidelines Stroke Gold Plus Achievement Award. Get with the Guidelines is a hospital-based, quality-improvement program designed to ensure hospitals consistently care for cardiac and stroke patients following the most up-to-date guidelines and recommendations. TNMC also hosts the only young adult stroke support group to address the emotional and physical challenges of recovering from stroke.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$194,230,706	ExpenseAmt
Grant	$38,265,870	GrantAmt
Revenue	$237,645,680	RevenueAmt
Desc	Heart and Vascular Service Line The Nebraska Medical Center (TNMC) provides a wide range of cardiovascular services from diet counseling to surgical procedures and rehabilitation to patients from the surrounding region. TNMC has grown into one of the busiest centers in the country for ventricular assist device operations. TNMC has been successful in recruiting physicians and has the only heart failure specialist in the region, and the only heart failure program certified by the joint commission in the State of Nebraska. In 2016, TNMC began a lung transplant program, and in December 2017, TNMC performed the state's first heart and lung transplant. In the year ended June 30, 2021, TNMC performed five lung transplants. The congestive heart failure program and acute myocardial infarction program each received the gold seal of approval certification from the American Heart Association. This program is certified by the joint commission, and these services are the 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. TNMC has been recognized for service excellence under the J.D. Power and Associates Distinguished Hospital Program. TNMC has the only joint commission certified destination therapy program in the state and is the only hospital in the region performing adult heart transplants and implanting total artificial hearts. In the year ended June 30, 2021, 803 open heart surgeries were performed, including 43 heart transplants.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$842,410,575	$165,965,381	$705,580,592	All Other Hospital Services With a history dating back to 1869, The Nebraska Medical Center (TNMC) was formed with the merging of Bishop Clarkson Memorial Hospital and University Hospital. In July 2016, UNMC Physicians' outpatient clinics became part of the organization. TNMC continues to attract patients from the region and around the world. TNMC is a tertiary/quaternary academic medical center. It is the largest health care facility in the State of Nebraska with more than 10,000 employees and over 900 physicians practicing in all major specialties and sub-specialties. In addition to key services in cardiology, oncology, transplant, and neurology, TNMC offers comprehensive care in women's services for obstetrics and gynecology, as well as pediatric services, orthopedics, rheumatology, and pulmonary care. TNMC has one of the region's largest hyperbaric medicine programs, and it is the most esteemed academic health system in the region with 809 licensed beds at its two hospitals, Nebraska Medicine - Nebraska Medical Center and Nebraska Medicine - Bellevue. TNMC also operates forty specialty and primary care clinics in Omaha, NE and the surrounding area. TNMC has one of the few biocontainment units in the country equipped to safely care for those exposed to highly contagious, dangerous diseases. In 2014, the Nebraska Biocontainment Unit was activated to provide care for three Americans that contracted the Ebola virus during the West Africa outbreak. This response resulted in TNMC and University of Nebraska Medical Center (UNMC) becoming one of three designated Ebola treatment and education centers in the country. Throughout the last decade, biocontainment unit staff have continued to educate public health and infectious disease teams from around the world about safe protocols and responses to infectious diseases, most recently COVID-19. TNMC was one of the first to care for exposed and infected Americans in early 2020, and it continues to be a world leader in treating and mitigating the virus more than two years into the pandemic. The organization continues to strive toward its mission to lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research, and extraordinary patient care. This was demonstrated through a variety of activities throughout fiscal year 2021, as well as the health system emerging as a local, regional, and national leader in the response to the COVID-19 pandemic. The following efforts continued as a result of the COVID-19 pandemic: * Inpatient and outpatient clinical care for patients affected by COVID-19 * Universal masking and personal protective equipment policies for staff and patients * Required COVID-19 vaccination for staff * Partnership with Douglas County Health Department to administer the first vaccines in 2020 to high-risk patients as authorized by the Food and Drug Administration, expanding to include all adults, as approved * Conducting outreach and providing monoclonal antibody infusions to patients infected with COVID-19 at highest risk of serious disease or complications * Utilization of E-visits and video visits through an online patient portal and patient-facing mobile app. This allows for increased access and includes primary, specialty, and immediate care appointments. * Establishment of post-covid clinic, first treating employees and family members; then expanding to patients affected by long COVID-19 symptoms * Creation of training materials through the Global Center for Health Safety * Providing training and education for health care workers through National Emerging Special Pathogens Training and Education (NETEC) * Conducting and participating in clinical trials * Serving as a community and national expert through news, social media, and community outreach Additional highlights from the year included: * Creation of an Office of Inclusion and Diversity, including the hiring of the first Chief Diversity and Inclusion officer * Groundbreaking on new patient centered medical home clinic in Millard, NE * Beginning of expansion and construction of new medical office building at Village Pointe Health Center in West Omaha, NE, increasing services and access for patients * Expansion of Fast Pass Program, which allows patients to be notified of appointment cancellations and be seen by providers as openings are available * First in the nation to place a megatron stent, which reduces the need for heart bypass surgery in select cardiology patients * Initial planning begins for innovation design unit, a patient care unit that will be used to pilot innovative care delivery and technology In fiscal year 2021, TNMC earned the following: * U.S. News and World Report recognition as one of the best hospitals, rated #1 in the Omaha, NE metro and the State of Nebraska; high performing in five adult specialties and ten procedures and conditions * Named one of the top ten trusted health systems by the American Hospital Association * Received EHealthcare's top honor, Mark Gothberg Organizational Commitment Award, as well as four platinum awards for outstanding communication during the COVID-19 pandemic * Recognized by Forbes as one of the top ten best employers in Nebraska for the third year in a row * Training magazine's top 100 companies for training programs award * Newsweek's World's Best Hospitals 2021 Ranking #49 on the list of best hospital in the United States
$136,228,474	$26,838,707	$180,330,746	Digestive Disease and Kidney Service Line The Nebraska Medical Center (TNMC) operates one of the busiest solid organ transplant programs in the world. In 2016, TNMC joined a small number of transplant centers which have programs for transplants of all solid organs. TNMC's lung transplant program did its first transplant in February 2016, and five lung transplants were performed during 2021. In the year ended June 30, 2021, TNMC performed 321 solid organ transplants including liver, kidney, heart, lung, pancreas, and small bowel. The success of TNMC's solid organ transplant program is heightened by research done on the TNMC/University of Nebraska Medical Center (UNMC) campuses. Since its inception, patients have come to TNMC for single or multiple organ transplants from all fifty states and five continents.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$978,639,049	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$192,804,088	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$885,911,338	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,672,850,955	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	370	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	10440	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4025523278	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bruce Grewcock
DIRECTOR (TREASURER)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Jeffrey P Gold MD
DIRECTOR (CHAIRMAN)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Mogens Bay
DIRECTOR (VICE CHAIRMAN)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Nancy Keegan
DIRECTOR (SECRETARY)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Dr David W Mercer
DIRECTOR	30.0	30.0	Yes (X)		$0	$529,878	$37,320
Dr Debra Romberger
DIRECTOR	30.0	30.0	Yes (X)		$0	$439,563	$32,513
Eric K Keen
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
James E McClurg PHD
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
James T Canedy
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
Jim Pillen
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
Lance M Fritz
DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
James Linder
CEO	45.0	10.0		Yes (X)	$1,540,039	$0	$14,370
Stephanie Daubert
CFO	45.0	10.0		Yes (X)	$736,709	$0	$29,387
Anna Cramer
CHIEF LEGAL OFFICER	45.0	10.0			$536,516	$0	$16,760	Yes (X)
Brian J Lancaster
INFORMATION TECHNOLOGY VP	30.0	30.0			$414,602	$0	$27,771	Yes (X)
Cory D Shaw
CHIEF OPERATIONS OFFICER	45.0	10.0			$773,830	$0	$35,361	Yes (X)
Dr Harris A Frankel
CHIEF MEDICAL OFFICER	10.0	45.0			$0	$722,022	$20,556	Yes (X)
Frank Venuto
CHIEF HUMAN CAPITAL OFFICER	45.0	10.0			$509,645	$0	$30,770	Yes (X)
Jennifer Bartholomew
FACILITIES MANAGEMENT VP	55.0	0			$202,650	$0	$29,703	Yes (X)
Julie Lazure
ACUTE CARE/PATH SVCS VP	55.0	0			$373,946	$0	$34,578	Yes (X)
Matthew Pospisil
PERIOP SVS/BELLEVUE VP	55.0	0			$340,330	$0	$31,861	Yes (X)
Michael A Ash
EVP/CHIEF TRANSFORMATION OFC	30.0	30.0			$0	$710,067	$46,320	Yes (X)
Suzanne Nuss
CHIEF NURSING OFFICER	45.0	10.0			$496,141	$0	$34,011	Yes (X)
Theresa Franco
CANCER CTR/RAD/IMAG SVCS VP	55.0	0			$412,860	$0	$35,101	Yes (X)
Thomas C Macy
AMB CLINICS/CLINICAL PROG VP	55.0	0			$383,526	$0	$34,216	Yes (X)
Frank S Lococo
CORP MARKETING & COMM VP	55.0	0			$328,594	$0	$18,297		Yes (X)
Isaac Berg
Staff-Physician-Primary	55.0	0			$305,976	$0	$31,374		Yes (X)
Jay C Anderson
STAFF PHYSICIAN-PRIMARY	55.0	0			$284,163	$0	$23,934		Yes (X)
Jennifer Brown
STAFF PHYSICIAN-PRIMARY	55.0	0			$311,329	$0	$34,229		Yes (X)
Michael A Donner
STAFF PHYSICIAN-PRIMARY	55.0	0			$304,025	$0	$31,137		Yes (X)
Aubray Orduna
FORMER INTERIM PRES CLARKSON COLLEGE	55.0	0			$264,830	$0	$16,878			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,519,711	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,401,530	TotReportableCompRltdOrgAmt
Total Other Compensation	$646,447	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	909	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
LIVE ON NEBRASKA
3867 Leavenworth St	Omaha	NE	68105	MEDICAL SERVICES	$4,433,000
NATIONAL MARROW DONOR PROGRAM
3001 BROADWAY ST	MINNEAPOLIS	MN	55413	MEDICAL SERVICES	$2,612,435	NE SUITE 1000
MIDWEST TRANSPLANT NETWORK
1900 W 47th PLAZA	WESTWOOD	KS	66205	MEDICAL SERVICES	$2,560,000	SUITE 400
DONOR ALLIANCE INC
200 SPRUCE STREET	DENVER	CO	80230	MEDICAL SERVICES	$2,127,941	SUITE 200
ARUP LABORATORIES
500 CHIPETA WAY	SALT LAKE CITY	UT	84108	MEDICAL SERVICES	$2,014,155

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$53,722,790	GovernmentGrantsAmt
All Other Contributions	$5,571,328	AllOtherContributionsAmt
Total Contributions	$59,294,118	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Oncology & BMT	900099	$342,224,327	$342,224,327
Neurosciences	900099	$273,049,003	$273,049,003
Cardiovascular	446110	$237,645,680	$237,645,680
Digestive Disease & Kidney	900099	$180,330,746	$180,330,746
Other Surgery	900099	$153,603,969	$153,603,969

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$408,121,925	TotalRevenueColumnAmt
Related Or Exempt Func Income	$408,121,925	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,594,975,650	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,243,796	TotalRevenueColumnAmt
Exclusion	$43,243,796	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,914,903	RealAmt
Personal	$54,769	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,914,903	RealAmt
Personal	$54,769	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,969,672	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,353,279	UnrelatedBusinessRevenueAmt
Exclusion	$1,616,393	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,609,953	SecuritiesAmt
Other	$342,426	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,609,953	SecuritiesAmt
Other	$342,426	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,952,379	TotalRevenueColumnAmt
Exclusion	$5,952,379	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Pharmacy Services	900099	$89,643,330	$89,055,333	$587,997
Lab Administration	900099	$15,640,493	$15,640,493
One Chart Practice	900099	$13,131,278	$13,131,278

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,816,446	TotalRevenueColumnAmt
Related Or Exempt Func Income	$26,027,594	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,788,852	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$146,231,547	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,852,667,162	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,738,830,348	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,730,128	UnrelatedBusinessRevenueAmt
Exclusion	$50,812,568	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$256,912,905	TotalAmt
Program Services	$256,912,905	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$72,659,581	TotalAmt
Program Services	$72,659,581	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,624,014	TotalAmt
Program Services	$728,642	ProgramServicesAmt
Management And General	$5,895,372	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$451,624,766	TotalAmt
Program Services	$451,498,706	ProgramServicesAmt
Fundraising	$126,060	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,261,023	TotalAmt
Program Services	$23,252,139	ProgramServicesAmt
Fundraising	$8,884	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,873,656	TotalAmt
Program Services	$39,859,049	ProgramServicesAmt
Fundraising	$14,607	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,150,676	TotalAmt
Program Services	$31,141,732	ProgramServicesAmt
Fundraising	$8,944	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,337,536	TotalAmt
Program Services	$1,337,536	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$566,151	TotalAmt
Program Services	$566,151	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$109,837	TotalAmt
Program Services	$109,837	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$449,245	TotalAmt
Fundraising	$449,245	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$543,227	TotalAmt
Program Services	$543,227	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,725,119	TotalAmt
Program Services	$27,725,119	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,081,639	TotalAmt
Program Services	$4,081,639	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,830,761	TotalAmt
Program Services	$8,828,049	ProgramServicesAmt
Fundraising	$2,712	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$35,672,298	TotalAmt
Program Services	$35,662,608	ProgramServicesAmt
Fundraising	$9,690	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$33,045,280	TotalAmt
Program Services	$33,045,280	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$109,338	TotalAmt
Program Services	$109,338	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$206,124	TotalAmt
Program Services	$206,124	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,322,393	TotalAmt
Program Services	$12,322,393	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$87,343,577	TotalAmt
Program Services	$87,340,413	ProgramServicesAmt
Fundraising	$3,164	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,441,458	TotalAmt
Program Services	$1,441,458	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies & Equipment	$491,113,615	$491,113,615
Contracted Services	$73,221,336	$73,221,336
Repair & Maintenance	$7,775,521	$7,775,521
Affiliated Agreements	$1,676,641	$1,676,641

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,691,916	TotalAmt
Program Services	$9,691,916	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,679,369,633	TotalAmt
Program Services	$1,672,850,955	ProgramServicesAmt
Management And General	$5,895,372	ManagementAndGeneralAmt
Fundraising	$623,306	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,839,704	BOYAmt
EOY	$8,095,165	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$921,307,808	BOYAmt
EOY	$671,191,408	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,522,469	BOYAmt
EOY	$11,797,870	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$257,873,378	BOYAmt
EOY	$333,789,973	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,587,407	BOYAmt
EOY	$1,835,417	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,122,055	BOYAmt
EOY	$11,180,031	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$21,535,224	BOYAmt
EOY	$27,410,272	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,503,463,276	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$862,255,881	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$680,609,602	BOYAmt
EOY	$641,207,395	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$49,029,100	BOYAmt
EOY	$219,449,487	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$28,657,986	BOYAmt
EOY	$23,706,034	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$209,544,851	BOYAmt
EOY	$201,116,081	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,200,629,584	BOYAmt
EOY	$2,150,779,133	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$212,172,199	BOYAmt
EOY	$285,446,881	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$174,037,694	BOYAmt
EOY	$147,890,601	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$282,617,705	BOYAmt
EOY	$326,038,233	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$307,129,173	BOYAmt
EOY	$24,739,440	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$206,151,402	BOYAmt
EOY	$173,904,838	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,182,108,173	BOYAmt
EOY	$958,019,993	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$995,626,887	BOYAmt
EOY	$1,170,641,282	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,894,524	BOYAmt
EOY	$22,117,858	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,018,521,411	BOYAmt
EOY	$1,192,759,140	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,200,629,584	BOYAmt
EOY	$2,150,779,133	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$173,297,529	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,882,950	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$5,823,150	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$109,837	OtherActivitiesAmt
Total Lobbying Expenditures	$109,837	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	This amount consists of hospital lobbying dues paid through annual dues of the national and state hospital associations.	ExplanationTxt

Schedule D IRS990ScheduleD

Held Works Art HeldWorksArtGrp

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

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,339,668	BeginningYearBalanceAmt
Contributions	$1,375,831	ContributionsAmt
Investment Earnings Or Losses	$1,791,393	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$3,386,737	OtherExpendituresAmt
End Year Balance	$22,120,155	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,797,408	BeginningYearBalanceAmt
Contributions	$3,334,961	ContributionsAmt
Investment Earnings Or Losses	$1,163,014	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,955,715	OtherExpendituresAmt
End Year Balance	$22,339,668	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.1202	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.8798	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$858,195,535	OtherCostOrOtherBasisAmt
Depreciation	$449,244,631	DepreciationAmt
Book Value	$408,950,904	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,648,830	OtherCostOrOtherBasisAmt
Depreciation	$14,602,627	DepreciationAmt
Book Value	$12,046,203	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$587,115,304	OtherCostOrOtherBasisAmt
Depreciation	$391,120,220	DepreciationAmt
Book Value	$195,995,084	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,302,471	OtherCostOrOtherBasisAmt
Depreciation	$7,288,403	DepreciationAmt
Book Value	$10,014,068	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$641,207,395	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
BOND ACQUISITION COSTS	$2,965,140
CASH SURRENDER VALUE - SERP	$2,854,724
SOFTWARE AS SERVICE IMPLEMENT	$5,661,281
ROU ASSET OPERATING	$186,301,436
OTHER LONG TERM ASSETS	$3,333,500

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$201,116,081	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
THIRD PARTY PAYOR SETTLEMENT	$9,556,241
OTHER CLAIMS PAYABLE	$12,052,226
OTHER LONG-TERM LIABILITIES	$1,866,115
RIGHT OF USE OPERATING LEASES	$150,430,256

Field	Value	IRS element (for citing)
Total Liability	$173,904,838	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part III, Line 4 Collections of art - description of collections	THE HOSPITAL DISPLAYS ITS COLLECTION OF ART THROUGHOUT THE WALLS OF THE ORGANIZATION. IT IS A COLLECTION OF IMAGES and PORTRAITS TAKEN OF VARIOUS CULTURES AROUND THE WORLD and PORTRAYS THE HOSPITAL'S CULTURE OF PROVIDING MEDICAL CARE TO PEOPLE OF ALL CULTURES.
Schedule D, Part V, Line 4 Intended uses of endowment funds	THE MAJORITY OF THE ENDOWMENT FUNDS HELD BY THE HOSPITAL ARE HELD IN ORDER TO EARN INTEREST TO PROVIDE SCHOLARSHIPS OR EDUCATION FOR EMPLOYEES OF THE HOSPITAL OR FOR PATIENT NEEDS/EXPERIENCE. THE TERM ENDOWMENT FUNDS INCLUDE CHARITABLE GIFT ANNUITIES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	TNMC 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, 2021 OR 2020.

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
ALL AMOUNTS UNDER 5000
Grant Writing	false
UNIVERSITY OF NEBRASKA FOUNDATION
FUNDRAISING	false	1010 Lincoln Mall Ste 300	Lincoln	NE	68508	$1,086,014	$449,245	$636,769

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,086,014	TotalGrossReceiptsAmt
Total Retained By Contractors	$449,245	TotalRetainedByContractorsAmt
Total Net To Organization	$636,769	TotalNetToOrganizationAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	37342	PersonsServedCnt
Total Community Benefit Expns	$15,984,791	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,984,791	NetCommunityBenefitExpnsAmt
Total Expense	0.0095	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	119600	PersonsServedCnt
Total Community Benefit Expns	$163,584,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$124,144,374	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,439,835	NetCommunityBenefitExpnsAmt
Total Expense	0.0235	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	4147	PersonsServedCnt
Total Community Benefit Expns	$6,500,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,675,573	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	161089	PersonsServedCnt
Total Community Benefit Expns	$186,069,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130,819,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,424,626	NetCommunityBenefitExpnsAmt
Total Expense	0.0330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	11431	PersonsServedCnt
Total Community Benefit Expns	$3,068,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,278,103	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,790,580	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	2457	PersonsServedCnt
Total Community Benefit Expns	$60,318,087	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,007,833	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,310,254	NetCommunityBenefitExpnsAmt
Total Expense	0.0294	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,147,676	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,488,082	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,659,594	NetCommunityBenefitExpnsAmt
Total Expense	0.0040	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,736,315	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$850,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,885,675	NetCommunityBenefitExpnsAmt
Total Expense	0.0017	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	575	PersonsServedCnt
Total Community Benefit Expns	$193,299,391	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$193,299,391	NetCommunityBenefitExpnsAmt
Total Expense	0.1151	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	14463	PersonsServedCnt
Total Community Benefit Expns	$284,570,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,624,658	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$253,945,494	NetCommunityBenefitExpnsAmt
Total Expense	0.1512	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	175552	PersonsServedCnt
Total Community Benefit Expns	$470,639,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$161,444,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$309,370,120	NetCommunityBenefitExpnsAmt
Total Expense	0.1842	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	137	PersonsServedCnt
Total Community Benefit Expns	$7,158	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,158	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	935	PersonsServedCnt
Total Community Benefit Expns	$203,601	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,601	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	1072	PersonsServedCnt
Total Community Benefit Expns	$240,759	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$240,759	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$31,941,562	BadDebtExpenseAmt
Reimbursed By Medicare	$208,899,378	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$224,915,241	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,015,863	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Nebraska Orthopedic Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Orthopedic Hospital	PrimaryActivitiesTxt
Physicians Profit Or Ownership	0.4464	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.nebraskamed.com/about-us/community-health-improvement	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	https://www.douglascountyhealth.com/community-health-improvement-plan-chip	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.nebraskamed.com/about-us/community-health-improvement	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.nebraskamed.com/patients/billing/financial-counseling	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.nebraskamed.com/patients/billing/financial-counseling	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.nebraskamed.com/patients/billing/financial-counseling	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - GROUP A. (CHNA) FOR NEBRASKA MEDICINE (WHICH INCLUDES The Nebraska Medical Center (TNMC) AND BELLEVUE MEDICAL CENTER (BMC)) FOR THE COMPREHENSIVE CHNA PROCESS, A STEERING COMMITTEE COMPRISED OF KEY STAKEHOLDERS FROM AREA HEALTH SYSTEMS, LOCAL COUNTY HEALTH DEPARTMENT REPRESENTATIVES, AND KEY INFORMANTS FROM SEVERAL COMMUNITY AGENCIES WORKED COLLABORATIVELY TO OVERSEE THE PROCESS. THE CHNA STEERING COMMITTEE RETAINED PROFESSIONAL RESEARCH CONSULTANTS (PRC), INC. TO CONDUCT THE SURVEY. PRC IS A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING CHNAS SUCH AS THIS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994. INPUT FROM COMMUNITY STAKEHOLDERS KEY INFORMANT FOCUS GROUP DISCUSSIONS INCLUDED REPRESENTATION FROM ALL OF THE ASSESSED COUNTIES. FOCUS GROUP PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO PROVIDE INPUT REGARDING VULNERABLE OR MEDICALLY UNDERSERVED POPULATIONS, MINORITIES, AND/OR POPULATIONS WITH CHRONIC DISEASE. ONE HUNDRED SIXTY-THREE COMMUNITY STAKEHOLDERS, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS PARTICIPATED IN FOCUS GROUP SESSIONS. A FULL LIST OF PARTICIPATING KEY INFORMANT FOCUS GROUPS AND THEIR AREAS OF EXPERTISE CAN BE FOUND HERE: WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT STEERING COMMITTEE PARTICIPANT NAMES BELOW IS A LISTING OF THE PARTICIPANTS AND THE SPONSORING ORGANIZATIONS REPRESENTING THE CHNA STEERING COMMITTEE. CHI HEALTH: KELLY NIELSEN - DIRECTOR, COMMUNITY BENEFIT AND HEALTHIER COMMUNITIES DOUGLAS COUNTY HEALTH DEPARTMENT: DR. ADI POUR - HEALTH DIRECTOR LIVE WELL OMAHA: SARAH SJOLIE - EXECUTIVE DIRECTOR METHODIST HEALTH SYSTEM: JEFF PROCHASKA - DIRECTOR, STRATEGIC PLANNING SARPY/CASS COUNTY HEALTH DEPARTMENT: SARAH SCHRAM - HEALTH DIRECTOR NEBRASKA MEDICINE (TNMC AND BMC): BECKY JACKSON - DIRECTOR, PATIENT & COMMUNITY ENGAGEMENT VISITING NURSES ASSOCIATION/POTTAWATTAMIE COUNTY: KRIS STAPP - VICE PRESIDENT, COMMUNITY HEALTH SERVICE CHARLES DREW HEALTH CENTER: KENNY MCMORRIS - CHIEF EXECUTIVE OFFICER OMAHA COMMUNITY FOUNDATION: KALI BAKER - VICE PRESIDENT OF COMMUNITY RELATIONS ONEWORLD COMMUNITY HEALTH CENTERS: ANDREA SKOLKIN - CHIEF EXECUTIVE OFFICER UNITED WAY OF THE MIDLANDS: MARIEL HARDING - DIRECTOR, COMMUNITY IMPACT
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - GROUP A. THE CHNA WAS CONDUCTED WITH OTHER HOSPITAL AND COMMUNITY BASED FACILITIES AS LISTED BELOW: THE NEBRASKA MEDICAL CENTER AND BELLEVUE MEDICAL CENTER CHI HEALTH *METHODIST HEALTH SYSTEM
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - GROUP A. THE CHNA WAS CONDUCTED WITH OTHER HOSPITAL AND COMMUNITY BASED FACILITIES AS LISTED BELOW: DOUGLAS, SARPY, CASS AND POTTAWATTAMIE COUNTY HEALTH DEPARTMENTS LIVE WELL OMAHA
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - GROUP A. NEBRASKA MEDICINE HAS CURRENT PROGRAMS AND SERVICES IN PLACE TO ADDRESS EACH OF THE ELEVEN CHNA-IDENTIFIED COMMUNITY NEEDS. HOWEVER, IN ORDER TO MAKE MEANINGFUL IMPACT, AND TO USE ITS FINANCES MOST EFFECTIVELY AND EFFICIENTLY, NEBRASKA MEDICINE WILL PLACE A PRIMARY FOCUS ON INJURY & VIOLENCE PREVENTION, MENTAL HEALTH AND ACCESS TO HEALTHCARE SERVICES. HOWEVER, IT HAS NO PLANS TO DISCONTINUE OTHER COMMUNITY BENEFIT EFFORTS ADDRESSING THE REMAINING CHNA-IDENTIFIED NEEDS, AND MAY TOUCH UPON EACH OF THESE CATEGORIES WITHIN ITS EFFORTS TO ADDRESS ISSUES SURROUNDING ACCESS TO CARE IN UNDERSERVED POPULATIONS. FURTHER, IN ORDER TO ENSURE ALL IDENTIFIED NEEDS WILL BE ADDRESSED IN THE COMMUNITY, NEBRASKA MEDICINE MET WITH THE OTHER LOCAL HEALTH SYSTEMS AND COUNTY HEALTH DEPARTMENTS TO DISCUSS THE CHNA-IDENTIFIED COMMUNITY NEEDS AND LOOK FOR OPPORTUNITIES TO COLLABORATE. THE IDENTIFIED NEEDS NOT BEING ADDRESSED BY NEBRASKA MEDICINE ARE IDENTIFIED AS CANCER, NUTRITION, PHYSICAL ACTIVITY & WEIGHT, SUBSTANCE ABUSE, DIABETES, HEART DISEASE & STROKE, DEMENTIA INCLUDING ALZHEIMER'S DISEASE, RESPIRATORY DISEASES AND SEXUALLY TRANSMITTED DISEASES. EACH OF THESE REMAINING CHNA-IDENTIFIED NEEDS ARE BEING ADDRESSED BY ONE OF THE OTHER COMMUNITY HEALTH SYSTEMS, LOCAL UNIVERSITY MEDICAL SCHOOLS, COUNTY HEALTH DEPARTMENTS, OR COMMUNITY-BASED ORGANIZATIONS. A FULL LISTING OF THESE ARE PROVIDED IN TNMC'S CHNA REPORT AND CAN BE FOUND HERE: WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT Implementation Plan Status Update NEBRASKA MEDICINE'S FISCAL 2019-2022 CHNA AND IMPLEMENTATION PLANNING CYCLE IDENTIFIED ELEVEN SIGNIFICANT HEALTH NEEDS, THREE OF WHICH WERE PRIORITIZED FOR THE PLANNING PERIOD: (1) INJURY & VIOLENCE PREVENTION, (2) MENTAL HEALTH AND (3) ACCESS TO HEALTHCARE SERVICES. BELOW ARE SOME HIGHLIGHTS ON THE PROGRESS OF THE FISCAL 2019-2022 PLAN. * Funded over $214,000 to community nonprofit partners towards initiatives and programs related to accessing care * Financial counselors assisted over 8,400 patients with enrollment in public assistance programs * Provided over $38,000 in pharmacy benefits to Open Door Mission patients * Continued partnership with Medicare on the Primary Care First program focusing on population health management through Primary Care clinic sites * Conducted violence prevention program Dusk to Dawn in 18 classes for 102 attendees * Served 33 patients in ENCOMPASS Omaha, a hospital-based violence intervention program * Provided community-level trauma education with Stop the Bleed to 129 attendees * Development of Psychiatry subspecialty clinics (Women's Reproductive Health, Treatment Resistant Depression, ASPIRE [severe and persistent mental illness], Addictions, Anxiety Disorders, Dialectical Behavior Therapy) * Implemented universal suicide screening and safety planning for hospital admissions at Nebraska Medical Center and Bellevue Medical Center * Started Addiction Psychiatry Inpatient Consultation-Liaison service * Established Behavioral Health Connection program * Developed Addiction Medicine Fellowship in partnership with Family Medicine * Increased offering and availability of outpatient behavioral health services via telehealth * Opened a new 24/7 Psychiatric Emergency Services unit * Provide psychiatric services to community organizations serving underserved communities, including Charles Drew Health Center, Douglas County Youth Center, Santee Health Center (Santee Sioux Reservation), Community Alliance, primary care practices in rural NE, Olsen Women's Center, and NM Specialty Care HIV and Transgender Clinics
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - Group A. Patients with annual family incomes of less than four times the federal poverty level and within asset limits will qualify for financial assistance. Free care is available to patients with limited assets and family income equal to or less than two times the federal poverty level. Discounted care is available to those with incomes between 200% and 400% of the federal poverty level. Catastrophic care provisions are available and may apply to individuals with extraordinarily high medical expenses.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - GROUP A. POLICY FN16: DISCOUNT/FINANCIAL ADJUSTMENTS TALKS ABOUT DISCOUNTS FOR PATIENTS WITH NON THIRD-PARTY PAYMENT SOURCE, DISCOUNTS, SIMILAR TO DISCOUNTS OFFERED TO MANAGED CARE PLANS, ARE OFFERED FOR MOST PATIENTS THAT DO NOT HAVE THIRD PARTY INSURANCE AND DO NOT MEET THE GUIDELINES FOR GOVERNMENTAL ASSISTANCE PROGRAMS. THIS DISCOUNT IS SUBJECT TO CHANGE BASED ON THE RATES AGREED UPON THROUGH MANAGED CARE CONTRACTS. THESE DISCOUNTS ARE INDEPENDENT OF THE CHARITY ADJUSTMENTS, AND THAT CHARITY ADJUSTMENTS ARE APPLIED AFTER THE SELF-PAY ADJUSTMENT IS APPLIED TO THE BILLED CHARGES.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - GROUP A. 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.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NE MEDICINE - INTERNAL MEDICINE
729 NORTH CUSTER AVENUE	Grand Island	NE	68805	INTERNAL MEDICINE CLINIC
GIRLS INC OF OMAHA
2811 NORTH 45TH STREET	Omaha	NE	68104	FAMILY MEDICINE CLINIC
NEBRASKA MEDICINE UNIVERSITY HEALTH CENTER
550 NORTH 19TH STREET	Lincoln	NE	68588	MEDICAL CLINIC
NEBRASKA MEDICINE UNO HEALTH CENTER
6001 DODGE STREET	Omaha	NE	68182	MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Section D	WE DO NOT HAVE REHABILITATION, FREE STANDING DIAGNOSTIC FACILITIES, OR SKILLED NURSING. OUR OFF SITE DIAGNOSTIC SERVICES ARE INCLUDED ON OUR HOSPITAL LICENSE AND OUR HOSPITAL ANCILLARY SERVICES ARE HOSPITAL BASED AND INCLUDED ON OUR LICENSE.
Schedule H, Part III Line 2 & 4	TNMC'S FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE SPECIFICALLY COVERING BAD DEBT EXPENSE. THOUGH PATIENT INCOME MAY QUALIFY THEM FOR FINANCIAL ASSISTANCE, THE PATIENT HAS OBLIGATIONS AS WELL TO COMPLETE FINANCIAL ASSISTANCE FORMS AND TO SUBMIT SUPPORTING DOCUMENTATION TO QUALIFY. PATIENTS WHO PROVIDE THIS INFORMATION AND QUALIFY FOR ASSISTANCE WOULD NEVER GO TO BAD DEBT. THEREFORE, IT IS REASONABLE TO STATE THAT OUR BAD DEBT EXPENSE IS FOR THOSE UNWILLING TO PAY OR UNWILLING TO WORK WITH US TO PROVIDE FINANCIAL ASSISTANCE, IF AVAILABLE. IF AN ACCOUNT IS COMPLETELY WRITTEN OFF TO BAD DEBT, THE TOTAL COST VIA THE COST ACCOUNTING SYSTEM IS APPLIED. IF ONLY A PORTION OF THE ACCOUNT WAS WRITTEN OFF TO BAD DEBT, THEN BAD DEBT AS A PERCENTAGE OF CHARGE IS THEN APPLIED TO THE TOTAL COST FOR THE ENCOUNTER TO ESTIMATE THE COST ASSOCIATED WITH THE BAD DEBT. THE AMOUNT THAT GOES TO COLLECTIONS IS PATIENT LIABILITY. NOT COLLECTING THESE DOLLARS IS A DIRECT EXPENSE TO THE ORGANIZATION. AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, IT IS OUR RESPONSIBILITY TO HELP ANYONE WHO PRESENTS THEMSELVES WITH A HEALTH ISSUE; AS SUCH, WE HAVE LESS CONTROL OVER WHAT GETS RECOGNIZED AS BAD DEBT. TO COMPUTE BAD DEBT AT COST, MANAGEMENT USED ALL DISCHARGED CASES IN PRIOR FISCAL YEAR WITH BAD DEBT WRITE-OFF. THE WRITE-OFF WAS COMPUTED AS A PERCENTAGE OF CHARGE AND THEN MULTIPLIED BY THE TOTAL COST (DETERMINED BY A DETAILED COST ACCOUNTING METHODOLOGY) TO ESTIMATE THE COST OF BAD DEBT.
Schedule H, Part I, Line 7 COMMUNITY BENEFIT	THESE NUMBERS ARE COMPUTED IN A COST ACCOUNTING SYSTEM THAT PRODUCES A COST FOR EVERY SERVICE THE HOSPITAL PROVIDES. RELATIVE VALUE UNITS, FOR SEVEN CATEGORIES OF EXPENSE, ARE UPDATED ANNUALLY FOR EACH PATIENT SERVICE WHICH KEEPS THE COST ACCOUNTING CURRENT. THESE COSTS PER UNIT VALUES ARE APPLIED TO THE PATIENT UTILIZATION TO COMPUTE THE TOTAL COST. THE COST ACCOUNTED TOTAL IS TIED BACK TO THE HOSPITAL'S FINANCIAL STATEMENTS TO ENSURE SYSTEM INTEGRITY.
Schedule H, Part V, Section B, Line 20d Presumptive Eligibility	The Nebraska Medical Center (TNMC) is utilizing the scoring mechanism in its EPIC software. The organization is in the process of integrating presumptive eligibility from external vendors. Currently, TNMC is considering if an individual has Medicaid or deceased with no estate to be discretionary charity and qualify that individual.
Schedule H, Part I, Line 6a Community Benefit Report	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED AT: WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-BENEFIT-REPORT
Schedule H, Part I, Line 7f Column F	THE DENOMINATOR USED TO CALCULATE THE PERCENTAGE IN COLUMN(F) IS FORM 990, PART IX, LINE 25(A).
Schedule H, Part VI, Line 6 Affiliated Health Care System	NEITHER TNMC NOR BMC ARE IN AN AFFILIATED HEALTHCARE SYSTEM.
Schedule H, Part II Community Building Activities	Community building activities are designed to address the root causes of health problems. Poverty, homelessness, and environmental problems all contribute to poor health. The types of programs included in this category support workforce development and training programs to provide employment and leadership skills, training, job shadowing for students interested in health careers, and economic development support grants to help revitalize low-income areas and businesses.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	OVERALL MEDICARE PATIENTS PRODUCE A NEGATIVE 7.67% MARGIN ON GROSS CHARGES. THIS IS SPREAD ACROSS MOST OF OUR PRODUCT LINES. OUR HEAVIEST LOSSES ARE FROM THE INPATIENT NEUROLOGY, ONCOLOGY AND CARDIAC PRODUCT LINES AND FROM ONCOLOGY AND SURGERY ON THE OUTPATIENT SIDE. IN GENERAL MEDICARE INPATIENTS DO COVER THE DIRECT COSTS OF PROVIDING THEIR CARE. HOWEVER, THE INDIRECT COSTS TO SUPPORT THE HOSPITAL MUST BE ACCOUNTED FOR AND TURNS THE MARGIN NEGATIVE. THESE NUMBERS ARE COMPUTED IN A COST ACCOUNTING SYSTEM THAT PRODUCES A COST FOR EVERY SERVICE THE HOSPITAL PROVIDES. THE SYSTEM IS UPDATED ANNUALLY AND TIED TO OUR FINANCIAL STATEMENTS TO ENSURE INTEGRITY OF THE PRODUCT LINE PROFITABILITY STATEMENTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	A PATIENT KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE (ONCE ALL PAPERWORK IS RECEIVED AND APPROVED) ARE FLAGGED IN THE SYSTEM AND MONITORED ACCORDINGLY TO ENSURE FINANCIAL ASSISTANCE IS POSTED TO THE PATIENT ACCOUNT. WHEN THE 12 MONTH APPROVAL EXPIRES, PATIENTS ARE CONTACTED IF SERVICES HAVE BEEN RENDERED WITHIN THE LAST SIX MONTHS TO DISCUSS SUBMITTAL OF NEW INFORMATION FOR CONTINUATION OF ASSISTANCE. IF PATIENTS NO LONGER QUALIFY, OTHER PAYMENT OPTIONS ARE DISCUSSED PER ORGANIZATIONAL POLICY. REPORTS ARE UTILIZED FOR FOLLOW UP PURPOSES. PATIENTS WHO QUALIFY FOR 100% ASSISTANCE DO NOT RECEIVE GUARANTOR STATEMENTS (BILLS) FROM THE ORGANIZATION. PATIENTS WHO QUALIFY FOR AN 80% OR 60% DISCOUNT WORK WITH CUSTOMER SERVICE OR COLLECTION STAFF TO OUTLINE PAYMENT ARRANGEMENTS ACCORDING TO SET POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	A - THE NEBRASKA MEDICAL CENTER: Line 16a URL: www.nebraskamed.com/patients/billing/financial-counseling;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - THE NEBRASKA MEDICAL CENTER: Line 16b URL: www.nebraskamed.com/patients/billing/financial-counseling;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - THE NEBRASKA MEDICAL CENTER: Line 16c URL: www.nebraskamed.com/patients/billing/financial-counseling;
Schedule H, Part VI, Line 2 Needs assessment	NEBRASKA MEDICINE USES DISEASE INCIDENCE AND PREVALENCE DATA, LEADING CAUSES OF DEATH, COMMUNITY HEALTH STATUS RESEARCH AND SUPPLY AND DEMAND ANALYSIS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. ADDITIONALLY, NEBRASKA MEDICINE ENGAGED PROFESSIONAL RESEARCH CONSULTANTS (PRC) TO PERFORM A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH THE LOCAL HEALTH SYSTEMS AND COUNTY HEALTH DEPARTMENTS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE The Nebraska Medical Center (TNMC) AND Bellevue Medical Center (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 TNMC 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 TNMC. 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 TNMC 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 NONCOMPLIANCE WITH THIS EXPECTATION.
Schedule H, Part VI, Line 4 Community information	WE SERVE MANY COMMUNITIES, INTERNATIONAL, REGIONAL, STATE, AND LOCAL OMAHA. THE STATISTICS BELOW DESCRIBE OUR LOCAL OMAHA COMMUNITY DEFINED AS DOUGLAS AND SARPY COUNTIES IN NEBRASKA. THIS LOCAL AREA REPRESENTS APPROXIMATELY 70% OF OUR INPATIENT AND OUTPATIENT DISCHARGES AND VISITS. THE 2021 ESTIMATED CENSUS POPULATION (DERIVED FROM THE US CENSUS BUREAU) FOR THIS LOCAL AREA IS 801,728. THE ESTIMATED RACE BREAKDOWN OF THE POPULATION IS BELOW. WHITE ALONE 80.70% BLACK ALONE 5.57% AMERICAN INDIAN AND ALASKA NATIVE ALONE 0.87% ASIAN ALONE 2.50% PACIFIC ISLANDER ALONE 0.10% TWO OR MORE RACES 2.60% HISPANIC OR LATINO 8.90% THERE ARE SIXTEEN ACUTE CARE AND CHILDREN'S HOSPITALS IN DOUGLAS AND SARPY COUNTY TO SERVE THE LOCAL COMMUNITY. BELLEVUE MEDICAL CENTER, BOYS TOWN NATIONAL RESEARCH HOSPITAL, CHI HEALTH CREIGHTON UNIVERSITY MEDICAL, CENTER - BERGAN MERCY, CHI HEALTH IMMANUEL, CHI HEALTH LAKESIDE, CHI HEALTH MIDLANDS, CHILDREN'S HOSPITAL & MEDICAL CENTER, DOUGLAS COUNTY HEALTH CENTER, MADONNA REHABILITATION HOSPITALS-OMAHA CAMPUS, METHODIST HOSPITAL, METHODIST WOMEN'S HOSPITAL, MIDWEST SURGICAL HOSPITAL, NEBRASKA SPINE HOSPITAL, ORTHONEBRASKA, SELECT SPECIALTY HOSPITAL - OMAHA, THE NEBRASKA MEDICAL CENTER. THERE ARE FIVE DESIGNATED MEDICALLY UNDERSERVED AREAS IN DOUGLAS COUNTY (THREE AREAS) AND SARPY COUNTY (TWO AREAS).
Schedule H, Part VI, Line 5 Promotion of community health	The Nebraska Medical Center (TNMC) RECOGNIZES THE COMMUNITY BENEFIT OF ADDRESSING ROOT CAUSES OF POOR HEALTH IN ORDER TO IMPROVE COMMUNITY HEALTH. THE HOSPITAL PARTICIPATED IN SEVERAL COMMUNITY BUILDING ACTIVITIES THROUGHOUT THE PAST YEAR DESIGNED TO ADDRESS THESE ROOT CAUSES. INCLUDED IN THIS TOTAL ARE THE HOSPITAL'S EFFORTS TO SUPPORT THE MID-AMERICA HOSPITAL ALLIANCE (MAHA); AN ALLIANCE OF RURAL AND CRITICAL ACCESS HOSPITALS IN THE REGION OF WHICH THE HOSPITAL IS A FOUNDING MEMBER. THE HOSPITAL SPENDS TIME COORDINATING RESOURCES TO ENSURE SMALLER, RURAL HOSPITALS CAN HAVE ACCESS TO THE EXPERTISE AND SERVICES OF A LARGE ACADEMIC MEDICAL CENTER. TNMC'S COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE PROGRAMS INTENDED TO DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE. MANY HOSPITAL STAFF MEMBERS GIVE EDUCATIONAL PRESENTATIONS ON THE HEALTH PROFESSIONS AND PROVIDE MOCK INTERVIEW TRAINING TO AREA STUDENTS. TNMC ALSO PROVIDES JOB SHADOWING OPPORTUNITIES TO UNDERGRADUATE STUDENTS WHO WISH TO EXPLORE HEALTH CAREERS. ADDITIONALLY, TNMC HAS THE ONLY BIO-CONTAINMENT UNIT IN THE STATE AND ONE OF FEW ACROSS THE NATION, CONTRIBUTING TO DISASTER PREPAREDNESS ABOVE AND BEYOND LICENSURE REQUIREMENTS. MEMBERS OF THE HOSPITAL'S CRITICAL CARE AND TRAUMA STAFF SHARE EXPERTISE BY PARTICIPATING IN COMMUNITY COALITIONS TO IMPROVE SAFETY AND REDUCE ACCIDENTS AMONG CHILDREN, TEENS, AND SENIORS. THE HOSPITAL WORKS TO ENCOURAGE ECONOMIC GROWTH AND DEVELOPMENT BY SUPPORTING AN ECONOMIC DEVELOPMENT PARTNERSHIP AIMED AT THE DEVELOPMENT OF NEW BUSINESS IN THE CITY'S URBAN AREAS. BELLEVUE MEDICAL CENTER (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. (CHNA) FOR NEBRASKA MEDICINE (WHICH INCLUDES TNMC AND BMC) FOR THE COMPREHENSIVE CHNA PROCESS, A STEERING COMMITTEE COMPRISED OF KEY STAKEHOLDERS FROM AREA HEALTH SYSTEMS, LOCAL COUNTY HEALTH DEPARTMENT REPRESENTATIVES, AND KEY INFORMANTS FROM SEVERAL COMMUNITY AGENCIES WORKED COLLABORATIVELY TO OVERSEE THE PROCESS. THE CHNA STEERING COMMITTEE RETAINED PROFESSIONAL RESEARCH CONSULTANTS (PRC), INC. TO CONDUCT THE SURVEY. PRC IS A NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING CHNAS SUCH AS THIS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994. INPUT FROM COMMUNITY STAKEHOLDERS KEY INFORMANT FOCUS GROUP DISCUSSIONS INCLUDED REPRESENTATION FROM ALL OF THE ASSESSED COUNTIES. FOCUS GROUP PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO PROVIDE INPUT REGARDING VULNERABLE OR MEDICALLY UNDERSERVED POPULATIONS, MINORITIES, AND/OR POPULATIONS WITH CHRONIC DISEASE. ONE HUNDRED SIXTY-THREE COMMUNITY STAKEHOLDERS, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS PARTICIPATED IN FOCUS GROUP SESSIONS. A FULL LIST OF PARTICIPATING KEY INFORMANT FOCUS GROUPS AND THEIR AREAS OF EXPERTISE CAN BE FOUND HERE: WWW.NEBRASKAMED.COM/ABOUT-US/COMMUNITY-HEALTH-IMPROVEMENT
Schedule H, Part VI, Line 7 State filing of community benefit report	NE

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
American Cancer Society
8030 Farnam Drive	Omaha	NE	68114	131788491	501(C)(3)	$210,000	General Support
American Heart Association
9900 Nicholas Street	Omaha	NE	68114	135613797	501(C)(3)	$27,500	General Support
Father Flanagan's Boys' Home
14100 Crawford Street	Boys Town	NE	68010	470376606	501(C)(3)	$10,000	General Support
Greater Omaha Chamber Foundation
808 Conagra Drive	Omaha	NE	68102	470633685	501(C)(3)	$23,125	General Support
Heartland Family Services
2101 South 42nd Street	Omaha	NE	68105	470390618	501(C)(3)	$23,750	General Support
Juvenile Diabetes Research Foundation
9202 West Dodge Road	Omaha	NE	68114	231907729	501(C)(3)	$7,072	General Support
Lauritzen Gardens
100 Bancroft Street	Omaha	NE	68108	470659701	501(C)(3)	$25,000	Scholarship
The Leukemia & Lymphoma Society
11840 Nicholas Street	Omaha	NE	68154	135644916	501(C)(3)	$25,000	General Support
Make-A-Wish Foundation Nebraska
11836 Arbor Street	Omaha	NE	68144	470671096	501(C)(3)	$9,500	General Support
March of Dimes
11840 Nicholas Street	Omaha	NE	68154	131846366	501(C)(3)	$7,500	General Support
National Safety Council
11620 M Circle	Omaha	NE	68137	470259720	501(C)(3)	$5,300	General Support
Nebraska AIDS Project
250 South 77th St	Omaha	NE	68114	470786622	501(C)(3)	$10,000	General Support
Project Pink'd Inc
11405 Davenport Street	Omaha	NE	68154	455212995	501(C)(3)	$11,250	General Support
Ronald McDonald House Charities in Omaha
620 South 38th Avenue	Omaha	NE	68105	470755104	501(C)(3)	$65,700	General Support
TeamMates Mentoring
6801 O Street	Lincoln	NE	68510	470840990	501(C)(3)	$6,000	General Support
United Way of the Midlands
2201 Farnam Street	Omaha	NE	68102	470376605	501(C)(3)	$9,500	General Support
Visiting Nurse Foundation
12565 West Center Road	Omaha	NE	68144	470690846	501(C)(3)	$9,800	General Support
The Wellbeing Partners
6001 Dodge Street	Omaha	NE	68182	470642708	501(C)(3)	$20,000	General Support
City of Omaha Blackstone BID
1819 Farnam Street	Omaha	NE	68183	476006304	GOVT	$10,000	General Support
Omaha Discovery Trust
10050 Regency Circle	Omaha	NE	68114	320596113	501(C)(3)	$1,500,000	General Support
I-AM-HOME
987810 Nebraska Medical Center	Omaha	NE	68198	470049123	GOVT	$10,000	General Support
University of Nebraska Medical Center
986800 Nebraska Medical Center	Omaha	NE	68198	470049123	GOVT	$86,625,364	General Support
Harvard Medical School
25 Shattuck Street	Boston	MA	02115	042103580	GOVT	$11,554	General Support
National Strategic Research Institute
3835 Holdrege Street	Lincoln	NE	68583	455426026	GOVT	$225,877	General Support
Clarkson College
101 South 42nd Street	Omaha	NE	68131	363649217	501(C)(3)	$7,806,912	General Support
Board of Regents - University of Nebraska
3835 Holdrege Street	Lincoln	NE	68583	470049123	GOVT	$8,000,000	General Support
Clarkson Regional Health Services Inc
9300 Underwood Avenue	Omaha	NE	68114	470376531	501(C)(3)	$8,000,000	General Support
UNMC Physicians
986800 Nebraska Medical Center	Omaha	NE	68198	470785575	501(C)(3)	$142,471,071	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	28	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Financial Assistance (Charity Care)	9724	$63,051,427	Book	Charity Care
Financial Assistance (Renal-Indigent Patients)	21	$874,736	Book	Indigent Dialysis
Financial Assistance (Pharmaceuticals)	4514	$8,534,066	Book	Pharmaceuticals
Financial Assistance (Utilization Mgmt Patients)	450	$199,352	Book	Utilization Management

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule I, Part I, Line 1 Review and Approval of Charitable Contributions	THE NEBRASKA MEDICAL CENTER (TNMC) HAS A COMMITTEE WHOSE RESPONSIBILITY IS TO REVIEW AND APPROVE OR DISPROVE REQUESTS FOR SPONSORSHIP. THIS COMMITTEE IS COMPRISED OF THE CHIEF MEDICAL OFFICER AND MEMBERS OF THE COMMUNITY ENGAGEMENT TEAM. 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 THE COMMITTEE, AND EACH REQUEST is considered INDIVIDUALLY. CONTRIBUTIONS ARE MADE BASED ON THREE PRIMARY OBJECTIVES: 1) TO SUPPORT THE COMMUNITY NEED FOR RESOURCES ADDRESSING NEBRASKA'S LEADING CAUSES OF DEATH; INCLUDING ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH, AND INJURY & VIOLENCE PREVENTION. 2) TO ALIGN WITH ORGANIZATIONS FURTHERING TNMC'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, IF REQUESTED, 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 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. GROUPS, PROGRAMS, AND ACTIVITIES NOT SUPPORTED BY TNMC: 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 ROTARY CLUBS OR IRS 501(C)(4) LEGIONS AND ASSOCIATIONS. 5) MUNICIPALITIES, INCLUDING FIRE AND POLICE DEPARTMENTS OR RELATED SOCIAL SERVICE GROUPS AND POLITICAL ORGANIZATIONS. 6) RELIGIOUS ORGANIZATIONS OR SECTARIAN PROGRAMS FOR RELIGIOUS PURPOSES. 7) FRATERNAL ORGANIZATIONS, SOCIAL CLUBS, SPORTS TEAMS OR CLUBS, ATHLETIC COMPETITIONS. 8) ENDOWMENTS. 9) MULTIYEAR REQUESTS AND PLEDGES. 10) INDIVIDUALS REQUESTING LOANS, DEBT RETIREMENTS, SCHOLARSHIP OR FELLOWSHIP ASSISTANCE. 11) TRAVEL- INCLUDING STUDENT TRIPS OR TOURS. 12) MARKETING ACTIVITIES OR PROMOTIONAL MERCHANDISE. 13) PURCHASE OR MAINTENANCE OF VEHICLES. 14) FILM OR VIDEO PROJECTS, INCLUDING DOCUMENTARIES. 15) BEAUTY PAGEANTS.
Schedule I, Part III	Amounts provided to patients are determined by The Nebraska Medical Center's written and published financial assistance policy.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	Based on the detailed gift policy in Part I, Line 1, the funds are only provided for charitable purposes, and those organizations that receive monies from The Nebraska Medical Center are required to follow their 501(C)(3) requirements surrounding the use of funds received.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr David W Mercer
DIRECTOR	$0	$421,341	$0	$108,537	$0	$0	$0	$25,650	$0	$11,670	$0	$567,198	$0	$0
Dr Debra Romberger
DIRECTOR	$0	$343,283	$0	$96,280	$0	$0	$0	$25,650	$0	$6,863	$0	$472,076	$0	$0
James Linder
CEO	$1,181,213	$0	$345,692	$0	$13,134	$0	$8,550	$0	$5,820	$0	$1,554,409	$0	$0	$0
Stephanie Daubert
CFO	$539,199	$0	$166,425	$0	$31,085	$0	$23,175	$0	$6,212	$0	$766,096	$0	$0	$0
Aubray Orduna
FORMER INTERIM PRES CLARKSON COLLEGE	$264,274	$0	$0	$0	$556	$0	$13,936	$0	$2,942	$0	$281,708	$0	$0	$0
Jennifer Bartholomew
FACILITIES MANAGEMENT VP	$162,712	$0	$20,071	$0	$19,867	$0	$20,570	$0	$9,133	$0	$232,353	$0	$0	$0
Cory D Shaw
CHIEF OPERATIONS OFFICER	$584,950	$0	$178,680	$0	$10,200	$0	$23,175	$0	$12,186	$0	$809,191	$0	$0	$0
Dr Harris A Frankel
CHIEF MEDICAL OFFICER	$0	$527,542	$0	$165,300	$0	$29,180	$0	$19,238	$0	$1,318	$0	$742,578	$0	$0
Michael A Ash
EVP/CHIEF TRANSFORMATION OFC	$0	$519,525	$0	$182,100	$0	$8,442	$0	$25,650	$0	$20,670	$0	$756,387	$0	$0
Frank Venuto
CHIEF HUMAN CAPITAL OFFICER	$364,537	$0	$117,208	$0	$27,900	$0	$19,238	$0	$11,532	$0	$540,415	$0	$0	$0
Suzanne Nuss
CHIEF NURSING OFFICER	$370,619	$0	$114,265	$0	$11,257	$0	$23,175	$0	$10,836	$0	$530,152	$0	$0	$0
Anna Cramer
CHIEF LEGAL OFFICER	$387,926	$0	$120,000	$0	$28,590	$0	$14,963	$0	$1,797	$0	$553,276	$0	$0	$0
Brian J Lancaster
INFORMATION TECHNOLOGY VP	$346,496	$0	$66,810	$0	$1,296	$0	$19,238	$0	$8,533	$0	$442,373	$0	$0	$0
Theresa Franco
CANCER CTR/RAD/IMAG SVCS VP	$345,878	$0	$66,982	$0	$0	$0	$23,175	$0	$11,926	$0	$447,961	$0	$0	$0
Thomas C Macy
AMB CLINICS/CLINICAL PROG VP	$316,840	$0	$65,505	$0	$1,181	$0	$23,175	$0	$11,041	$0	$417,742	$0	$0	$0
Julie Lazure
ACUTE CARE/PATH SVCS VP	$301,981	$0	$62,400	$0	$9,565	$0	$23,175	$0	$11,403	$0	$408,524	$0	$0	$0
Matthew Pospisil
PERIOP SVS/BELLEVUE VP	$279,899	$0	$57,971	$0	$2,460	$0	$23,175	$0	$8,686	$0	$372,191	$0	$0	$0
Jennifer Brown
STAFF PHYSICIAN-PRIMARY	$266,674	$0	$44,655	$0	$0	$0	$23,175	$0	$11,054	$0	$345,558	$0	$0	$0
Michael A Donner
STAFF PHYSICIAN-PRIMARY	$241,933	$0	$61,482	$0	$610	$0	$19,238	$0	$11,899	$0	$335,162	$0	$0	$0
Frank S Lococo
CORP MARKETING & COMM VP	$270,494	$0	$55,100	$0	$3,000	$0	$14,963	$0	$3,334	$0	$346,891	$0	$0	$0
Jay C Anderson
STAFF PHYSICIAN-PRIMARY	$259,251	$0	$24,912	$0	$0	$0	$23,142	$0	$792	$0	$308,097	$0	$0	$0
Isaac Berg
Staff-Physician-Primary	$248,585	$0	$57,086	$0	$305	$0	$19,238	$0	$12,136	$0	$337,350	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

CERTAIN EXECUTIVES DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. NO PAYOUT OCCURRED DURING THE YEAR FROM A SUPPLEMENTAL NONQUALIFIED PLAN TO CURRENT OR FORMER* INDIVIDUALS. IN ADDITION, The Nebraska Medical Center (TNMC) HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (AMENDED AND RESTATED JANUARY 1, 2008) WHICH CONSTITUTES AN UNFUNDED, UNSECURED PLAN TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES UPON SEPARATION OF SERVICE, SUBJECT TO THE TERMS AND CONDITIONS OF THE PLAN. THE BENEFIT IS PAID IN FULL ONE YEAR AFTER EMPLOYMENT SEPARATION, AND THE AMOUNT IS BASED ON THE PARTICIPANT'S ANNUAL COMPENSATION, VALUE OF THE PARTICIPANT'S TNMC QUALIFIED RETIREMENT PLAN BENEFIT, SOCIAL SECURITY BENEFIT, AND NUMBER OF YEARS OF SERVICE. NO PAYOUT OCCURRED DURING THE YEAR FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO CURRENT OR FORMER* INDIVIDUALS.

Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization

THE ORGANIZATION'S FINANCIAL RESULTS ARE TAKEN INTO CONSIDERATION WHEN CALCULATING COMPENSATION IN ADDITION TO OTHER NON-FINANCIAL FACTORS. EXECUTIVE INCENTIVE COMPENSATION IS DETERMINED BY SEVERAL KEY METRICS THAT ARE ESTABLISHED BY THE NEBRASKA MEDICAL CENTER GOVERNING BODY. THESE METRICS ARE INCLUSIVE OF STRATEGIC, FINANCIAL, OPERATIONAL AND QUALITY OUTCOMES. ON AN ANNUAL BASIS, THE NEBRASKA MEDICAL CENTER GOVERNING BODY REVIEWS ACHIEVEMENT OF PRESET TARGETS AND APPROVES INCENTIVES WHEN WARRANTED. THESE PERFORMANCE PAYMENTS ARE SET IN CONSIDERATION OF TOTAL COMPENSATION VS. COMPARED TO MARKET FOR SIMILAR POSITIONS. AS IT WAS DETERMINED THAT IT IS IN THE BEST INTEREST OF THE ORGANIZATION TO HAVE A PORTION OF THEIR BASE PAY SUBJECT TO FORFEITURE UNLESS THE PRE-DETERMINED FINANCIAL AND NON-FINANCIAL FACTORS DISCUSSED ABOVE ARE ACHIEVED. INCENTIVE COMPENSATION RELATED TO FY21 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: JAMES LINDER: $345,692 STEPHANIE DAUBERT: $166,425 ANNA CRAMER: $120,000 THERESA FRANCO: $66,982 HARRIS FRANKEL: $165,300 BRIAN LANCASTER: $66,810 JULIE LAZURE: $62,400 THOMAS MACY: $65,505 SUZANNE NUSS: $114,265 MATTHEW E. POSPISIL: $57,971 CORY SHAW: $178,680 FRANK VENUTO: $117,208 JAY C. ANDERSON: $24,912 JENNIFER L. BROWN: $44,655 MICHAEL DONNER: $61,482 ISAAC BERG: $57,086 FRANK S. LOCOCO: $55,100 DAVID W. MERCER: $108,537 DEBRA J. ROMBERGER: $96,280 MICHAEL A. ASH: $182,100 JENNIFER BARTHOLOWMEW: $20,071

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE
A	521440796	259230MV9	2016-08-23	$157,496,093	CAPITAL PROJECT & REFUND PRIOR LEASE (5/1/2014)	false	false	false
HOSPITAL AUTH NO 1 OF SARPY COUNTY NE
B	470834151	80372PAR7	2016-08-23	$147,968,496	CAPITAL PROJECT & REFUND PRIOR LEASE (10/30/2013)	false	false	false
Hospital Auth No 2 of Douglas County NE
C	521440796	259230PK0	2020-08-05	$50,000,000	CAPITAL PROJECT & REFUND PRIOR NOTE (6/1/2018)	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$20,455,000	$0	$157,516,214	$0	$0	$0	$0	$0	$0	$115,024,453	$42,491,761	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$147,968,496	$0	$0	$0	$0	$0	$0	$130,156,459	$17,812,037	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$50,002,480	$0	$0	$0	$0	$0	$0	$21,245,170	$6,986,824	$21,770,486		false	Yes (true)	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0299	0.0299	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0299	0.0299	false	false	Yes (true)
C	false	false	false		false		0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3 Column A	The total proceeds do not agree to the issue price in Part I, Line A, Column (E) due to investment earnings.
Schedule K, Part IV, Line 2c Column A	Date the rebate computation was performed: 7/31/2017
Schedule K, Part IV, Line 2c Column B	Date the rebate computation was performed: 7/31/2017
Schedule K, Part IV, Line 2c Note regarding the 7/31/2017 rebate computations	Since the bond proceeds have been spent and the debt service fund was operated on a bona fide basis, no further rebate calculations are necessary.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Bruce Grewcock
Kiewit Construction, President	$1,550,207	Construction Services	false
James T Canedy
Wife is Employee	$65,342	Employment	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 842,410,575 including grants of $ 165,965,381)(Revenue $ 705,580,592) All Other Hospital Services With a history dating back to 1869, The Nebraska Medical Center (TNMC) was formed with the merging of Bishop Clarkson Memorial Hospital and University Hospital. In July 2016, UNMC Physicians' outpatient clinics became part of the organization. TNMC continues to attract patients from the region and around the world. TNMC is a tertiary/quaternary academic medical center. It is the largest health care facility in the State of Nebraska with more than 10,000 employees and over 900 physicians practicing in all major specialties and sub-specialties. In addition to key services in cardiology, oncology, transplant, and neurology, TNMC offers comprehensive care in women's services for obstetrics and gynecology, as well as pediatric services, orthopedics, rheumatology, and pulmonary care. TNMC has one of the region's largest hyperbaric medicine programs, and it is the most esteemed academic health system in the region with 809 licensed beds at its two hospitals, Nebraska Medicine - Nebraska Medical Center and Nebraska Medicine - Bellevue. TNMC also operates forty specialty and primary care clinics in Omaha, NE and the surrounding area. TNMC has one of the few biocontainment units in the country equipped to safely care for those exposed to highly contagious, dangerous diseases. In 2014, the Nebraska Biocontainment Unit was activated to provide care for three Americans that contracted the Ebola virus during the West Africa outbreak. This response resulted in TNMC and University of Nebraska Medical Center (UNMC) becoming one of three designated Ebola treatment and education centers in the country. Throughout the last decade, biocontainment unit staff have continued to educate public health and infectious disease teams from around the world about safe protocols and responses to infectious diseases, most recently COVID-19. TNMC was one of the first to care for exposed and infected Americans in early 2020, and it continues to be a world leader in treating and mitigating the virus more than two years into the pandemic. The organization continues to strive toward its mission to lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research, and extraordinary patient care. This was demonstrated through a variety of activities throughout fiscal year 2021, as well as the health system emerging as a local, regional, and national leader in the response to the COVID-19 pandemic. The following efforts continued as a result of the COVID-19 pandemic: * Inpatient and outpatient clinical care for patients affected by COVID-19 * Universal masking and personal protective equipment policies for staff and patients * Required COVID-19 vaccination for staff * Partnership with Douglas County Health Department to administer the first vaccines in 2020 to high-risk patients as authorized by the Food and Drug Administration, expanding to include all adults, as approved * Conducting outreach and providing monoclonal antibody infusions to patients infected with COVID-19 at highest risk of serious disease or complications * Utilization of E-visits and video visits through an online patient portal and patient-facing mobile app. This allows for increased access and includes primary, specialty, and immediate care appointments. * Establishment of post-covid clinic, first treating employees and family members; then expanding to patients affected by long COVID-19 symptoms * Creation of training materials through the Global Center for Health Safety * Providing training and education for health care workers through National Emerging Special Pathogens Training and Education (NETEC) * Conducting and participating in clinical trials * Serving as a community and national expert through news, social media, and community outreach Additional highlights from the year included: * Creation of an Office of Inclusion and Diversity, including the hiring of the first Chief Diversity and Inclusion officer * Groundbreaking on new patient centered medical home clinic in Millard, NE * Beginning of expansion and construction of new medical office building at Village Pointe Health Center in West Omaha, NE, increasing services and access for patients * Expansion of Fast Pass Program, which allows patients to be notified of appointment cancellations and be seen by providers as openings are available * First in the nation to place a megatron stent, which reduces the need for heart bypass surgery in select cardiology patients * Initial planning begins for innovation design unit, a patient care unit that will be used to pilot innovative care delivery and technology In fiscal year 2021, TNMC earned the following: * U.S. News and World Report recognition as one of the best hospitals, rated #1 in the Omaha, NE metro and the State of Nebraska; high performing in five adult specialties and ten procedures and conditions * Named one of the top ten trusted health systems by the American Hospital Association * Received EHealthcare's top honor, Mark Gothberg Organizational Commitment Award, as well as four platinum awards for outstanding communication during the COVID-19 pandemic * Recognized by Forbes as one of the top ten best employers in Nebraska for the third year in a row * Training magazine's top 100 companies for training programs award * Newsweek's World's Best Hospitals 2021 Ranking #49 on the list of best hospital in the United States
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 136,228,474 including grants of $ 26,838,707)(Revenue $ 180,330,746) Digestive Disease and Kidney Service Line The Nebraska Medical Center (TNMC) operates one of the busiest solid organ transplant programs in the world. In 2016, TNMC joined a small number of transplant centers which have programs for transplants of all solid organs. TNMC's lung transplant program did its first transplant in February 2016, and five lung transplants were performed during 2021. In the year ended June 30, 2021, TNMC performed 321 solid organ transplants including liver, kidney, heart, lung, pancreas, and small bowel. The success of TNMC's solid organ transplant program is heightened by research done on the TNMC/University of Nebraska Medical Center (UNMC) campuses. Since its inception, patients have come to TNMC for single or multiple organ transplants from all fifty states and five continents.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	MR. BRUCE GREWCOCK AND MR. MOGENS BAY - Business relationship, DR. JAMES T. CANEDY, MS. STEPHANIE DAUBERT, AND DR. HARRIS FRANKEL - Business relationship, Dr. James Linder and Mr. Brian Lancaster - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	NEBRASKA MEDICINE IS THE SOLE MEMBER OF TNMC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	EFFECTIVE 2017, TNMC HAS ONE MEMBER, NEBRASKA MEDICINE, A NONPROFIT ORGANIZATION THAT HAS BEEN RECOGNIZED AS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TNMC'S BYLAWS PROVIDE THAT THE MEMBERS OF TNMC'S BOARD OF DIRECTORS SHALL BE THE SAME PERSONS WHO SERVE AS MEMBERS OF THE BOARD OF NEBRASKA MEDICINE. THE TNMC BOARD IS COMPRISED OF 15 DIRECTORS, SPECIFICALLY 11 VOTING DIRECTORS AND 4 EX-OFFICIO NON-VOTING DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE FOLLOWING POWERS ARE RESERVED TO TNMC'S SOLE MEMBER, NEBRASKA MEDICINE: - AMENDMENT TO TNMC'S ARTICLES OF INCORPORATION; - A MERGER OR CONSOLIDATION OF TNMC WITH OR INTO ANY OTHER ENTITY; - SALE, TRANSFER, LEASE, DISPOSITION, OR CHANGE IN USE OF (A) MORE THAN 50% OF THE ASSETS OF THE CLINICAL OPERATIONS OF TNMC; OR (B) SUCH OTHER ASSETS AS THE TNMC BOARD DESIGNATES; - ENTRY INTO A JOINT OPERATING AGREEMENT, INTEGRATION AGREEMENT, OR SIMILAR AGREEMENT, OR AMENDMENT TO ANY EXISTING SIMILAR AGREEMENT; - ISSUANCE OR INCURRENCE OF INDEBTEDNESS RESULTING IN A DEBT/EQUITY RATIO IN EXCESS OF 40% OR A DEBT COVERAGE RATIO LESS THAN 1.25; - LIQUIDATION OR DISSOLUTION OF TNMC; - ADMISSION OF ONE OR MORE ADDITIONAL MEMBERS OF TNMC; - ENTRY INTO ANY AFFILIATIONS THAT WOULD CHANGE THE SIZE OF THE BOARD, A CHANGE TO THE QUORUM REQUIREMENTS, OR CHANGE IN THE SUPERMAJORITY VOTING REQUIREMENTS; - APPROVAL OF ANY AMENDMENT TO THE BYLAWS; OR - A GIFT, PLEDGE, DONATION, OR GRANT IN EXCESS OF ONE MILLION DOLLARS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	A COPY OF THE FORM 990 WAS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, THE BOARD OF DIRECTORS WERE PROVIDED A COPY OF THE FORM 990 TO REVIEW ON THE SECURED BOARD PORTAL CALLED BOARD EFFECT BEFORE IT WAS FILED.
Form 990, Part VI, Line 12c Conflict of interest policy	MONITORING AND ENFORCEMENT OF BOARD INDEPENDENCE EACH MEMBER OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES DISCLOSES ANNUALLY THAT HE/SHE IS EITHER AN OFFICER, DIRECTOR, MEMBER, OWNER, AGENT OR ASSOCIATED IN SOME MANNER WITH DELINEATED BUSINESS ENTITIES THAT EITHER HAVE OR MIGHT REASONABLY BE EXPECTED TO HAVE A BUSINESS RELATIONSHIP WITH TNMC. EACH BOARD MEMBER AGREES TO MAKE CONFLICTS KNOWN AND WITHDRAW FROM PARTICIPATION IN DELIBERATIONS IF A SUBSEQUENT CONFLICT ARISES. DISCLOSURE STATEMENTS ARE DISTRIBUTED ANNUALLY AND MONITORED BY THE CORPORATE COMPLIANCE OFFICER FOR COMPLETION. ANY DISCLOSED CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE CHAIRMAN OF THE BOARD FOR BOARD MEMBERS AND OFFICERS OR TO THE OFFICERS FOR KEY EMPLOYEES.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	The executive and physician compensation committee of The Nebraska Medical Center's Board of Directors is comprised of a chair (appointed by the Board of Directors), a vice chair, and not less than two (2) additional directors from the board, all of whom are determined by the board to be independent from the University of Nebraska Medical Center and Nebraska Medicine, which includes UNMC Physicians and the Nebraska Medical Center. The compensation committee is responsible for overseeing the performance and compensation of the CEO, assessing the appropriateness and reasonableness of the executive compensation and benefit programs, and monitoring compensation programs with senior executives and physicians to confirm compliance with regulations and business need. The committee reviews all proposed compensation for senior executives and physicians, including the CEO. All compensation submitted for review must be supported by appropriate documentation, including, but not limited to, comparability data (I.E., Association of American Medical Colleges (AAMC)) relevant for the occupation and corporation position. This data is compared to similarly situated AAMC organizations of comparable revenue. The executive compensation data is provided by an independent compensation consulting firm hired by the committee, and this firm reports directly to the committee. The committee ensures that its review and approval qualify for the rebuttable presumption of reasonableness under the intermediate sanction's regulations (26 C.F.R. 53.4958-6, as amended). To ensure such compliance, the committee: 1. Ensures committee members are free from any relationships or conflicts of interest that may impair, or appear to impair, a committee member's ability to make independent judgements; 2. Receives and relies upon appropriate data as to comparability from internal or external resources prior to making its determination; and 3. Documents the basis for its determination of reasonableness concurrently with making that determination. Such documentation includes: A) The terms of the arrangement that was approved and the date it was approved; B) The members of the committee who were present and those who voted on it (quorum is required for any approval); C) The comparability data obtained and relied upon by the committee and how such material was obtained; and D) The action(s) taken by the committee. All compensation and benefits for the CEO are reviewed and recommended by the committee to the Board of Directors for final approval.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The executive and physician compensation committee of The Nebraska Medical Center's Board of Directors is comprised of a chair (appointed by the Board of Directors), a vice chair, and not less than two (2) additional directors from the board, all of whom are determined by the board to be independent from the University of Nebraska Medical Center and Nebraska Medicine, which includes UNMC Physicians and the Nebraska Medical Center. The compensation committee is responsible for assessing the appropriateness and reasonableness of the executive compensation and benefit programs and monitoring compensation programs with senior executives and physicians to confirm compliance with regulations and business need. The committee reviews all proposed compensation for senior executives and physicians. All compensation submitted for review must be supported by appropriate documentation, including, but not limited to, comparability data (I.E., Association of American Medical Colleges (AAMC)) relevant for the occupation and corporation position. This data is compared to similarly situated AAMC organizations of comparable revenue. The executive compensation data is provided by an independent compensation consulting firm hired by the committee, and this firm reports directly to the committee. The committee ensures that its review and approval qualify for the rebuttable presumption of reasonableness under the intermediate sanction's regulations (26 C.F.R. 53.4958-6, as amended). To ensure such compliance, the committee: 1. Ensures committee members are free from any relationships or conflicts of interest that may impair, or appear to impair, a committee member's ability to make independent judgements; 2. Receives and relies upon appropriate data as to comparability from internal or external resources prior to making its determination; and 3. Documents the basis for its determination of reasonableness concurrently with making that determination. Such documentation includes: A) The terms of the arrangement that was approved and the date it was approved; B) The members of the committee who were present and those who voted on it (quorum is required for any approval); C) The comparability data obtained and relied upon by the committee and how such material was obtained; and D) The action(s) taken by the committee.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE TYPICALLY NOT MADE AVAILABLE TO THE PUBLIC. HOWEVER, IF SOMEONE COMES INTO THE ACCOUNTING DEPARTMENT AND REQUESTS TO VIEW THE DOCUMENTS, THEY WOULD BE MADE AVAILABLE TO VIEW IN THE OFFICE.
Form 990, Part VIII, Line 2f Other Program Service Revenue	All Other - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other Revenue - Total Revenue: 27816446, Related or Exempt Function Revenue: 26027594, Unrelated Business Revenue: 1788852, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	INVESTMENT IN CLARKSON COLLEGE - 6455664; CHANGE IN PENSION ACCOUNTS - 31780; NET ASSETS RELEASED - -829922; EQUITY CHANGE - -6268; OTHER - 171896;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BELLEVUE MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2500 Bellevue Medical Center Drive	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68123	ZIPCd

Field	Value	IRS element (for citing)
EIN	204305186	EIN
Primary Activities	ACUTE CARE	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd
Total Income	$88,181,395	TotalIncomeAmt
End Of Year Assets	$194,661,573	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNMC PHYSICIANS
988145 NEBRASKA MEDICAL CENTER	Omaha	NE	68198	470785575	HEALTHCARE	NE	501(c)(3)	3	NM	false
CLARKSON COLLEGE
101 SOUTH 42ND STREET	Omaha	NE	68131	363649217	College	NE	501(c)(3)	2	TNMC	Yes (true)
NEBRASKA MEDICINE
987400 NEBRASKA MEDICAL CENTER	Omaha	NE	68198	813158267	SUPPORT	NE	501(c)(3)	Type I	na	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NE HEALTH NETWORK	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8511 DODGE RD	AddressLine1Txt
City	Omaha	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68114	ZIPCd

Field	Value	IRS element (for citing)
EIN	271784907	EIN
Primary Activities	Health Care	PrimaryActivitiesTxt
Legal Domicile State	NE	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
NHS ORTHOPAEDIC SERVICES INC
988145 NEBRASKA MEDICAL CENTER	Omaha	NE	681988145	470845238	INVEST SVC	NE	TNMC	C Corporation	$35,421,620	$38,855,232	1	Yes (true)
NEBRASKA HEALTH PARTNERS INC
988145 NEBRASKA MEDICAL CENTER	Omaha	NE	681988145	470816463	MGMT	NE	TNMC	C Corporation	$6,801,634	$3,136,829	1	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CLARKSON COLLEGE
B	$7,806,912	BOOK
CLARKSON COLLEGE
J	$16,319,297	BOOK
CLARKSON COLLEGE
L	$3,955,246	BOOK
NEBRASKA HEALTH PARTNERS
O	$2,082,391	BOOK