NEBRASKA STATE MEDICAL ASSOCIATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA STATE MEDICAL ASSOCIATION (EIN 47-0372108)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202243159349306904
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-11T16:10:16-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200424669PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SP GROUP PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11230 ARIES DRIVE SUITE AAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68512ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470372108EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA MEDICAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNEBRBusinessNameControlTxt
Phone4024744472PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 LINCOLN MALL SUITE 200AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68508ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY REYNOLDSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4024744472PhoneNum
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAMYPersonFirstNm
Person LastREYNOLDSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID E SWANPreparerPersonNm
PTINP00318925PTIN
Phone4024207758PhoneNum
Preparation2022-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAMY REYNOLDSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 LINCOLN MALL SUITE 200AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68508ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,783,452GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1868FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO SERVE PHYSICIAN MEMBERS BY ADVOCATING FOR THE MEDICAL PROFESSION, FOR PATIENTS, AND FOR THE HEALTH OF ALL NEBRASKANS.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$290,787TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$44,656NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,257,387PYContributionsGrantsAmt
CY Contributions Grants$1,006,477CYContributionsGrantsAmt
PY Program Service Revenue$399,293PYProgramServiceRevenueAmt
CY Program Service Revenue$668,249CYProgramServiceRevenueAmt
PY Investment Income$80,361PYInvestmentIncomeAmt
CY Investment Income$330,186CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,737,041PYTotalRevenueAmt
CY Total Revenue$2,004,912CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$754,297PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$925,531CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$996,351PYOtherExpensesAmt
CY Other Expenses$1,002,955CYOtherExpensesAmt
PY Total Expenses$1,750,648PYTotalExpensesAmt
CY Total Expenses$1,928,486CYTotalExpensesAmt
PY Revenues Less Expenses-$13,607PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$76,426CYRevenuesLessExpensesAmt
Total Assets BOY$7,814,660TotalAssetsBOYAmt
Total Assets EOY$8,892,460TotalAssetsEOYAmt
Total Liabilities BOY$1,161,030TotalLiabilitiesBOYAmt
Total Liabilities EOY$931,906TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,653,630NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,960,554NetAssetsOrFundBalancesEOYAmt
MissionPROMOTE THE COMMON INTERESTS OF NEBRASKA PHYSICIANSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROMOTE THE COMMON INTERESTS OF NEBRASKA PHYSICIANSDesc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy TaxYes (1)SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee10EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA MEDICAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4024744472PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 LINCOLN MALL STE 200AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68508ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
TODD HLAVATY
PAST PRESIDENT1.00Yes (X)$3,750$0$0
MICHELLE WALSH MD
IMMEDIATE PAST PRESIDENT1.00Yes (X)$16,250$0$0Yes (X)
JOSUE GUITIEREZ MD
DIRECTOR1.00Yes (X)$0$0$0
JASON KRUGER MD
SECRETARY/TREASURER1.00Yes (X)$5,000$0$0Yes (X)
DAVID WATTS MD
PRESIDENT1.00Yes (X)$16,250$0$0Yes (X)
MARK DAVIS MD
DIRECTOR1.00Yes (X)$0$0$0
LES SPRY MD
DIRECTOR1.00Yes (X)$0$0$0
ERIC AVERY MD
DIRECTOR1.00Yes (X)$0$0$0
DAN ROSENQUIST MD
PRESIDENT ELECT1.00Yes (X)$3,750$0$0Yes (X)
KELLY CAVERZAGIE MD
DIRECTOR1.00Yes (X)$0$0$0
JORDAN WARCHOL MD
DIRECTOR1.00Yes (X)$0$0$0
ROBERT DUNLAY JR MD
DIRECTOR1.00Yes (X)$0$0$0
TRAVIS TEETOR MD
DIRECTOR1.00Yes (X)$0$0$0
C JOSE FRIESEN MD
DIRECTOR1.00Yes (X)$0$0$0
PHIL BOUCHER MD
DIRECTOR1.00Yes (X)$0$0$0
TODD VOSS MD
DIRECTOR1.00Yes (X)$0$0$0
AMY REYNOLDSON
EXECUTIVE VICE-PRESIDENT40.00$161,460$0$7,840Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$206,460TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$7,840TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$426,145MembershipDuesAmt
All Other Contributions$580,332AllOtherContributionsAmt
Total Contributions$1,006,477TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROG.SERV.REVENUE-UNRE541900$290,787$290,787
PROG.SERV.REVENUE-RELA541900$283,232$283,232

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,230TotalRevenueColumnAmt
Exclusion$94,230ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$668,249TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,914TotalRevenueColumnAmt
Exclusion$193,914ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$914,812SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$778,540SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$136,272SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,272TotalRevenueColumnAmt
Exclusion$136,272ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,004,912TotalRevenueColumnAmt
Related Or Exempt Func Income$283,232RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$290,787UnrelatedBusinessRevenueAmt
Exclusion$424,416ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$214,300TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$529,597TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$56,415TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,481TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$52,738TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,866TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,139TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$53,100TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$38,249TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$97,611TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$88,973TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,199TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,568TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$28,604TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,421TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
GRANT EXPENSES$414,622
PROGRAM EXPENSES$76,836
PUBLIC RELATIONS$71,966
ANNUAL MEMBERSHIP MEETI$44,158

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,643TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,928,486TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$126,481BOYAmt
EOY$191,053EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$174,894BOYAmt
EOY$223,549EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$410,813LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$261,969LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$177,447BOYAmt
EOY$148,844EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,316,104BOYAmt
EOY$8,312,761EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,734BOYAmt
EOY$16,253EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,814,660BOYAmt
EOY$8,892,460EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$430,700BOYAmt
EOY$196,218EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$730,330BOYAmt
EOY$735,688EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,161,030BOYAmt
EOY$931,906EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,653,630BOYAmt
EOY$7,960,554EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,653,630BOYAmt
EOY$7,960,554EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,814,660BOYAmt
EOY$8,892,460EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$76,426ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$801,281NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$429,217OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues Nonded0SubstantiallyAllDuesNondedInd
Only In House Lobbying0OnlyInHouseLobbyingInd
Agree Carryover Prior Year0AgreeCarryoverPriorYearInd
Dues Assessments$426,145DuesAssessmentsAmt
Non Deductible Lbbyng Pltcl CY$130,991NonDeductibleLbbyngPltclCYAmt
Non Deductible Lbbyng Pltcl Tot$130,991NonDeductibleLbbyngPltclTotAmt
Aggregate Reported Dues Ntc$136,366AggregateReportedDuesNtcAmt
Taxable-$5,375TaxableAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I-A, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING AND POLITICAL EXPENDITURES ARE PAID IN CONNECTION WITH PROMOTING THE INTERESTS OF NEBRASKA PHYSICIANS.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,453OtherCostOrOtherBasisAmt
Depreciation$20,950DepreciationAmt
Book Value$97,503BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$212,895OtherCostOrOtherBasisAmt
Depreciation$162,591DepreciationAmt
Book Value$50,304BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,465OtherCostOrOtherBasisAmt
Depreciation$78,428DepreciationAmt
Book Value$1,037BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$148,844TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMUTUAL FUNDSDesc
Book Value$8,312,761BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$8,312,761TotalBookValueSecuritiesAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonAMY REYNOLDSONPersonNm
TitleEXECUTIVE VICE-PRESIDENTTitleTxt
Base Compensation Filing Org$128,160BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$12,500BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$20,800OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$7,840DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$169,300TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE EXECUTIVE VICE PRESIDENT REVIEWS THE FORM 990 BEFORE IT'S FILED AND SIGNS THE RETURN
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE ORGANIZATION'S EXECUTIVE VICE PRESIDENT.
FORM 990, PART XI, LINE 9:ADDITIONS TO NET ASSETS 429,217.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
NEBRASKA FOUNDATION FOR MEDICAL CARE
233 SOUTH 13TH STREET SUITE 1200LINCOLNNE68508237438953PEER REVIEW ORGANIZATIONNE501(C)(6)N/A0
NEBRASKA MEDICAL FOUNDATION
233 SOUTH 13TH STREET SUITE 1200LINCOLNNE68508476036827ADVANCE MEDICAL TECHNOLOGY AND EDUCATION IN NEBRASKANE501(C)(3)N/A0509(A)(3)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA MEDICAL SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1233 SOUTH 13TH STREET STE 1200AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68508ZIPCd
FieldValueIRS element (for citing)
EIN470372108EIN
Primary ActivitiesMEDICAL SERVICES COMMISSION INCOMEPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHOLLY OWNED SUBSIDIARYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NEBRASKA FOUNDATION FOR MEDICAL CARE
S$129,407CASH
NEBRASKA MEDICAL FOUNDATION - MANAGEMENT FEES
Q$22,500CASH
NEBRASKA MEDICAL SERVICES CORPORATION
S$299,795CASH

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