2020-07-10T13:46:40-05:00 2019-06-30 KPMG LLP 1212 North 96th Street Suite 300 Omaha NE 68114 990 2018-07-01 470785575 UNMC PHYSICIANS % KAREN KERSTETTER UNMC 4025599789 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 STEPHANIE DAUBERT CFO 4025594000 2020-07-10 true DONALD NEAL JR P00798244 4023481450 2020-07-09 199.206.0.5 47006120201925000001 2020-07-10 P B3D39BAE449679459B48A0C30762FBC339990D2C 65CF9D49F64C2267637B54237ED8CC7527705457 2018 2021-01-29 14:40:06Z Carl V Smith MD 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 376593099 false X WWW.UNMCPHYSICIANS.COM X 1995 NE LEAD THE WORLD IN TRANSFORMING LIVES TO CREATE A HEALTHY FUTURE FOR INDIVIDUALS & COMMUNITIES THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH & EXTRAORDINARY PATIENT CARE 11 8 697 8 796117 271720 90831098 120930065 241382392 255665534 0 -2500 0 0 332213490 376593099 5650369 6099001 0 0 207944999 236492051 0 0 0 118618122 134002047 332213490 376593099 0 75487719 71110748 66037912 61660941 9449807 9449807 X OUR MISSION IS 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. false false 373572005 6099001 254869417 UNMC PHYSICIANS DIRECTS ITS RESOURCES TOWARD GIVING LEADING PHYSICIANS THE RESOURCES TO PROVIDE EXCELLENT HEALTHCARE TO PATIENTS ACROSS NEBRASKA AND BEYOND. UNMC PHYSICIANS CONTINUES TO LEAD THE REGION THROUGH A FOCUSED MISSION INCLUDING EXCEPTIONAL PATIENT CARE, EDUCATION THAT EMPOWERS, CUTTING-EDGE RESEARCH AND AN EMPHASIS ON GIVING BACK TO THE COMMUNITY. WITH MORE THAN 50 SPECIALTIES AND SUB-SPECIALTIES, UNMC PHYSICIANS PROVIDES SPECIALIZED SERVICES AND THE LATEST IN TREATMENT OPTIONS TO ITS PATIENTS. OUR PHYSICIANS NOT ONLY TREAT PATIENTS, BUT THEY EDUCATE FUTURE PHYSICIANS. MANY OF OUR DOCTORS TRAINED AND NOW TEACH AT THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. THEY, ALONG WITH EXPERIENCED NURSES, ALLIED HEALTH PROFESSIONALS AND BUSINESS SUPPORT PERSONNEL ARE DEDICATED TO SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITY. CHARITABLE CARE IS A HIGH PRIORITY, AND WE MAKE TREATMENT AVAILABLE TO ALL PERSONS WHO PRESENT THEMSELVES FOR CARE, REGARDLESS OF RACE, CREED, LIFESTYLE, OR ABILITY TO PAY. DURING FISCAL 2019, UNMC PHYSICIANS SERVED MORE THAN 186 THOUSAND PATIENTS IN ITS CLINICS AND OVER 235 THOUSAND PATIENTS THROUGH INPATIENT AND OTHER ANCILLARY SERVICE LINES. IN ADDITION, UNMC PHYSICIANS SUPPORTS MANY COMMUNITY BASED HEALTH PROGRAMS SERVING THOSE IN NEED THROUGH DONATED FUNDS, SUPPLIES, PHYSICIAN TIME AND NURSE TIME. UNMC PHYSICIANS PROVIDED MORE THAN 6 MILLION DOLLARS, AT COST, IN CHARITABLE CARE TO THE UNDERSERVED AND THOSE UNABLE TO PAY FOR MEDICALLY NECESSARY HEALTHCARE SERVICES. IN ADDITION, OVER 37 PERCENT OF UNMC PHYSICIANS NET PATIENT SERVICE REVENUE CAME FROM GOVERNMENT FUNDED HEALTH INSURANCE PROGRAMS, SUCH AS MEDICAID, MEDICARE AND TRICARE. WHILE THESE GOVERNMENT PROGRAMS DO NOT COVER THE FULL COST OF THE HEALTH SERVICES PROVIDED, UNMC PHYSICIANS TRANSFERRED OVER 2 MILLION DOLLARS TO THE COLLEGE OF MEDICINE AT THE UNIVERSITY OF NEBRASKA MEDICAL CENTER IN SUPPORT OF ITS CLINICAL, EDUCATION AND RESEARCH MISSION. PLEASE SEE THE COMMUNITY BENEFIT REPORT FOR ADDITIONAL DETAILS AT WWW.NEBRASKAMED.COM. 373572005 true true false false false false false false false false true false false true true true false true false false true false false false false false false true true true false false false false false false false false false false false false false true false false false true X 82 0 true 697 true true true false false false false false false false false false false false X 11 8 true false false false true true true true true false false true true true true true true true true true false X KAREN KERSTETTER 4025523278 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 X Jeffrey Gold Director (Chairman) 1.0 2.0 X X 0 0 0 Mogens Bay Director (Vice Chairman) 1.0 2.0 X X 0 0 0 Bruce Grewcock Director (Treasurer) 1.0 2.0 X X 0 0 0 James Linder SEC THRU 8/18; CEO BEG 8/18 10.0 45.0 X X 0 348011 4170 Nancy Keegan Secretary (start 10/2/2018) 1.0 2.0 X X 0 0 0 Louis W Burgher Director 1.0 40.0 X 0 207328 9846 James T Canedy Director 1.0 2.0 X 0 0 0 Lance M Fritz Director 1.0 2.0 X 0 0 0 Eric K Keen Director 1.0 2.0 X 0 0 0 James E McClurg Director 1.0 2.0 X 0 0 0 Debra Romberger Director 30.0 30.0 X 484540 0 28750 David W Mercer Director 30.0 30.0 X 576594 0 30622 Carl V Smith Director (thru 10/2/2018) 30.0 30.0 X 575473 0 24012 Stephanie Daubert Officer-NM CFO 10.0 45.0 X 0 703778 36422 Daniel DeBehnke Officer-NM CEO (thru 8/8/2018) 10.0 45.0 X 0 1607237 20624 Steven J Lisco Anesthesiology Dept Chairman 30.0 30.0 X 484721 0 24122 Craig W Walker Radiology Dept Chairman 30.0 30.0 X 580568 0 25196 Michael A Ash EVP/Chief Transformation Ofc 30.0 30.0 X 711678 0 27463 Anna Cramer Chief Legal Officer 10.0 45.0 X 0 299507 1005 Harris A Frankel Chief Medical Officer 45.0 10.0 X 693408 0 25944 Brian J Lancaster Information Technology VP 30.0 30.0 X 0 376042 19425 Suzanne Nuss Chief Nursing Officer 10.0 45.0 X 0 453186 44836 Cory Shaw Chief Operations Officer 10.0 45.0 X 0 757107 45298 Frank Venuto Chief Human Capital Officer 15.0 45.0 X 0 500834 38773 Kevin L Garvin Physician 50.0 10.0 X 1005197 0 24750 Christopher C Gillis Physician 50.0 10.0 X 1082559 0 24750 Perry J Johnson Physician 50.0 10.0 X 1024300 0 27465 Michael J Moulton Physician 50.0 10.0 X 1002009 0 24750 Daniel L Surdell Jr Physician 50.0 10.0 X 1200520 0 24750 Dennis Bierle SYSTEM CLINICAL OPERATIONS COO 0.0 0.0 X 0 449501 15175 9421567 5702531 548148 621 true true false UROLOGY CENTER PC 111 SOUTH 90TH STREET OMAHA NE 68114 MEDICAL SERVICES 743171 LOCUMTENENSCOM LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 TEMP LABOR 494070 TELE-PHYSICIANS PC 1768 BUSINESS CENTER DR 100 RESTON VA 20190 CONSULTANT SERVICES 310990 MADSON EVERETT 3902 LEAVENWORTH STREET OMAHA NE 68105 MEDICAL SERVICES 230400 PRESS GANEY ASSOCIATES INC 404 COLUMBIA PLACE SOUTH BEND IN 46601 SURVEYING SERVICES 172893 11 120865135 64930 120930065 PATIENT SERVICE REVENUE 621400 232710527 232710527 OTHER CONTRACTUAL REVENUE 900099 22955007 22158890 796117 255665534 -2500 -2500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 376593099 254869417 796117 -2500 16844 16844 6082157 6082157 0 0 4106982 1149955 2957027 0 203861114 203861114 16979745 16979745 5330583 5330583 6213627 6213627 0 64067 64067 1863 1863 0 0 0 4520316 4520316 38792 38792 1930728 1930728 815562 815562 0 6558198 6558198 488635 488635 0 97212 97212 0 0 1456309 1456309 685151 685151 CONTRACTED SERVICES-CLINICAL 102725019 102725019 0 0 MEDICAL SUPPLIES & EQUIPMENT 9526017 9526017 DUES AND MEMBERSHIPS 687109 687109 AFFILIATE SUPPORT 320436 320436 4086633 4086633 376593099 373572005 3021094 0 444646 5336562 0 0 0 0 43155729 48458724 0 0 0 0 2863552 2197722 0 0 0 0 36328786 27624191 10160904 8704595 0 0 0 0 0 0 0 0 18862888 6413145 75487719 71110748 51177867 49083563 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14860045 12577378 66037912 61660941 X 9449807 9449807 0 0 0 0 9449807 9449807 75487719 71110748 X 0 X false true X true false X 23820664 52444927 69687020 90831098 120930065 357713774 200451163 203203246 227160320 240721228 255665534 1127201491 0 0 0 224271827 255648173 296847340 331552326 376595599 1484915265 0 2417166 49871466 66718547 87512615 117164109 323683903 2417166 49871466 66718547 87512615 117164109 323683903 1161231362 389674 792657 -2500 1179831 298809 905265 295997 271720 1771791 688483 1697922 295997 269220 2951622 0 0 224960310 257346095 296847340 331848323 376864819 1487866887 0.78047 0.80450 0.00198 0.00240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 407536 407536 4427095 1291321 3135774 12977652 8897681 4079971 18516503 17435189 1081314 8704595 RECEIVABLE FROM NMC 6413145 6413145 0 PAYABLE TO UNMC SRF 8600768 PAYROLL TAXES 3976610 12577378 X Schedule D, Part X, Line 2 FIN 48 FOOTNOTE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, 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, 2019. Sub-Saharan Africa 0 0 Program Services PROMOTE MEDICAL CARE 31267 0 0 0 0 31267 31267 false false false false false false Schedule F, Part I, Line 3, Column (f) GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE U.S. UNMC FINANCIALLY SUPPORTS UNMC COLLEGE OF MEDICINE'S MEDICAL RESIDENT ROTATION PROGRAM. STUDENTS DO A MONTHLY ROTATION IN SOUTH AFRICA WORKING IN LOCAL HOSPITALS AND CLINICS. UNMC PHYSICIANS PAID $31,267 FOR THE MEDICAL RESIDENT HOUSING AND LODGING RENTAL. true OMAHA HOME FOR BOYS 4343 N 52nd St Omaha NE 68104 470376529 501(c)(3) 14000 GENERAL SUPPORT 1 CHARITY CARE 7806 6082157 BOOK FINANCIAL ASSIST Schedule I, Part I, Line 2 REVIEW AND APPROVAL OF CHARITABLE CONTRIBUTIONS UNMC PHYSICIANS FOLLOWS THE NEBRASKA MEDICAL CENTER (TNMC) POLICY FOR REVIEW AND APPROVAL OF CHARITABLE CONTRIBUTIONS. TNMC HAS A COMMITTEE WHOSE RESPONSIBILITY IS TO REVIEW AND APPROVE OR DISPROVE REQUESTS FOR SPONSORSHIP. THIS COMMITTEE IS COMPRISED OF KEY EXECUTIVES AND OTHER MEMBERS OF THE LEADERSHIP TEAM, AS WELL AS REPRESENTATIVES FROM THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. DECISIONS ARE MADE ON EACH REQUEST INDIVIDUALLY BASED ON A SET OF GUIDELINES ESTABLISHED BY THE ORGANIZATION. THE COMMITTEE CONSIDERS EACH REQUEST INDIVIDUALLY, AND CONTRIBUTIONS ARE MADE BASED ON THREE PRIMARY OBJECTIVES: 1) TO SUPPORT THE COMMUNITY NEED FOR RESOURCES ADDRESSING NEBRASKA'S LEADING CAUSES OF DEATH; INCLUDING CANCER, STROKE AND HEART DISEASE. 2) TO ALIGN WITH ORGANIZATIONS FURTHERING UNMC PHYSICIANS 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 ORGANIZATION AND ENHANCE EXISTING PARTNERSHIPS OR INITIATIVES. IF A SPONSORSHIP OR CHARITABLE CONTRIBUTION REQUEST FALLS WITHIN OUR THREE PRIMARY OBJECTIVES, THE FOLLOWING CRITERIA ARE THEN APPLIED TO FURTHER ASSIST THE COMMITTEE IN MAKING FUNDING DECISIONS: 1) ORGANIZATION MUST PROVIDE PROOF OF 501(C)(3) STATUS FROM THE IRS, OR NONPROFIT DESIGNATION AS A GOVERNMENTAL OR TRIBAL ENTITY. 2) ALL REQUESTS MUST BE RECEIVED IN WRITING - NO PHONE REQUESTS WILL BE CONSIDERED. 3) REQUESTOR MUST BE ABLE TO PROVIDE THE ORGANIZATION'S NON-DISCRIMINATION POLICY. 4) MUST BE ABLE TO PROVIDE AN ORGANIZATIONAL OPERATING BUDGET AND PROJECT BUDGET UPON REQUEST. 5) PROPOSAL MUST INCLUDE A LIST OF BOARD MEMBERS, DIRECTORS, AND KEY PROJECT STAFF MEMBERS AND THE ROLE THEY SERVE IN THE ORGANIZATION. 6) REQUEST MUST INCLUDE A BRIEF NARRATIVE OF THE PROJECT, INCLUDING AN ESTIMATE OF NUMBERS OF PEOPLE SERVED BY THE REQUEST AND LOCATION OF COMMUNITIES IMPACTED BY THE ORGANIZATION'S MISSION. 7) REQUESTS FOR SPONSORSHIP NEED TO BE SUBMITTED AT LEAST 90 DAYS PRIOR TO THE EVENT, WITH REQUESTS OVER $10,000 BEING SUBMITTED BY MARCH 1 FOR CONSIDERATION IN THE NEXT FISCAL YEAR. GROUPS, PROGRAMS, AND ACTIVITIES NOT SUPPORTED: 1) ORGANIZATIONS WITHOUT IRS 501(C)(3) OR EQUIVALENT TAX EXEMPT STATUS. 2) ORGANIZATIONS THAT DISCRIMINATE ON THE BASIS OF AGE, DISABILITY, RELIGION, ETHNIC ORIGIN, GENDER, OR SEXUAL ORIENTATION. 3) ORGANIZATIONS WITH DIVISIVE OR LITIGIOUS PUBLIC AGENDAS. 4) MEMBER BASED ORGANIZATIONS, INCLUDING CHAMBERS OF COMMERCE, ROTARY CLUBS OR IRS 501(C)(4) LEGIONS AND ASSOCIATIONS. 5) MUNICIPALITIES, INCLUDING FIRE AND POLICE DEPARTMENTS OR RELATED SOCIAL SERVICE GROUPS AND POLITICAL ORGANIZATIONS. 6) RELIGIOUS ORGANIZATIONS OR SECTARIAN PROGRAMS FOR RELIGIOUS PURPOSES. 7) FRATERNAL ORGANIZATIONS, SOCIAL CLUBS, SPORTS TEAMS OR CLUBS, ATHLETIC COMPETITIONS. 8) ENDOWMENTS. 9) MULTIYEAR REQUESTS AND PLEDGES. 10) INDIVIDUALS REQUESTING LOANS, DEBT RETIREMENTS, SCHOLARSHIP OR FELLOWSHIP ASSISTANCE. 11) TRAVEL - INCLUDING STUDENT TRIPS OR TOURS. 12) MARKETING ACTIVITIES OR PROMOTIONAL MERCHANDISE. 13) PURCHASE OR MAINTENANCE OF VEHICLES. 14) FILM OR VIDEO PROJECTS, INCLUDING DOCUMENTARIES. 15) BEAUTY PAGEANTS. Schedule I, Part III UNDER THE SYSTEM INTEGRATION AND MANAGEMENT AGREEMENT, UNMC PHYSICIANS FOLLOWS THE WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY OF THE NEBRASKA MEDICAL CENTER. X X X X X X true true false false false true false false false James Linder SEC THRU 8/18; CEO BEG 8/18 0 343327 0 0 0 4684 0 0 0 5624 0 353635 0 0 Louis W Burgher Director 0 206686 0 0 0 642 0 9846 0 0 0 217174 0 0 Debra Romberger Director 318187 0 166353 0 0 0 28750 0 2991 0 516281 0 0 0 David W Mercer Director 424275 0 152319 0 0 0 30622 0 2991 0 610207 0 0 0 Carl V Smith Director (thru 10/2/2018) 468763 0 106710 0 0 0 24012 0 2991 0 602476 0 0 0 Dennis Bierle SYSTEM CLINICAL OPERATIONS COO 0 99678 0 68373 0 281450 0 9037 0 7135 0 465673 0 0 Stephanie Daubert Officer-NM CFO 0 498705 0 175208 0 29865 0 22125 0 15377 0 741280 0 0 Daniel DeBehnke Officer-NM CEO (thru 8/8/2018) 0 512849 0 751005 0 343383 0 14438 0 7520 0 1629195 0 0 Steven J Lisco Anesthesiology Dept Chairman 438587 0 44879 0 1255 0 24122 0 2991 0 511834 0 0 0 Craig W Walker Radiology Dept Chairman 364595 0 215973 0 0 0 25196 0 2991 0 608755 0 0 0 Michael A Ash EVP/Chief Transformation Ofc 504278 0 199000 0 8400 0 27145 0 3309 0 742132 0 0 0 Anna Cramer Chief Legal Officer 0 258603 0 36141 0 4763 0 1005 0 1401 0 301913 0 0 Harris A Frankel Chief Medical Officer 511052 0 173956 0 8400 0 23971 0 4964 0 722343 0 0 0 Brian J Lancaster Information Technology VP 0 304107 0 70176 0 1759 0 0 0 19425 0 395467 0 0 Suzanne Nuss Chief Nursing Officer 0 331376 0 111575 0 10235 0 22131 0 24427 0 499744 0 0 Cory Shaw Chief Operations Officer 0 551290 0 195704 0 10113 0 22125 0 24177 0 803409 0 0 Frank Venuto Chief Human Capital Officer 0 366043 0 125112 0 9679 0 14438 0 24335 0 539607 0 0 Kevin L Garvin Physician 702922 0 302275 0 0 0 24750 0 2991 0 1032938 0 0 0 Christopher C Gillis Physician 888349 0 194210 0 0 0 24750 0 2742 0 1110051 0 0 0 Perry J Johnson Physician 897309 0 126991 0 0 0 24750 0 5706 0 1054756 0 0 0 Michael J Moulton Physician 810440 0 191569 0 0 0 24750 0 2991 0 1029750 0 0 0 Daniel L Surdell Jr Physician 1171898 0 27922 0 700 0 24750 0 2991 0 1228261 0 0 0 Schedule J, Part I, Line 4a THE FOLLOWING EMPLOYEES WERE TERMED PRIOR TO FISCAL YEAR 2019 AND RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2018: DENNIS BIERLE: $278,919 CHADWICH BROUGH: $47,332 DANIEL DEBEHNKE: $325,410 Schedule J, Part I, Line 4b NONQUALIFIED RETIREMENT PLANS ALL EMPLOYEES REPORTED ON THESE FORMS ARE EMPLOYEES OF THE NEBRASKA MEDICAL CENTER (TNMC) AND ARE COVERED BY BENEFIT PLANS PROVIDED BY TNMC, INCLUDING CERTAIN RETIREMENT AND DEFERRED COMPENSATION PLANS. CERTAIN EXECUTIVES DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. NO PAYOUT OCCURRED DURING THE YEAR FROM A SUPPLEMENTAL NONQUALIFIED PLAN TO ANY CURRENT OR FORMER* INDIVIDUALS. IN ADDITION, THERE IS 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 OR THE PLAN. THE BENEFIT IS PAID IN FULL ONE YEAR AFTER EMPLOYMENT SEPARATION, AND THE AMOUNT IS BASDED 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. THERE WERE NO PAYOUTS THAT OCCURRED DURING THE YEAR FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CURRENT AND FORMER* INDIVIDUALS. Schedule J, Part I, Line 6a CONTINGENT COMPENSATION THE ORGANIZATION'S FINANCIAL RESULTS ARE TAKEN INTO CONSIDERATION WHEN CALCULATING EXECUTIVE COMPENSATION IN ADDITION TO OTHER NON-FINANCIAL FACTORS. EXECUTIVE INCENTIVE COMPENSATION IS DETERMINED BY SEVERAL KEY METRICS THAT ARE ESTABLISHED BY THE UNMC PHYSICIANS GOVERNING BODY. THESE METRICS ARE INCLUSIVE OF STRATEGIC, FINANCIAL, OPERATIONAL AND QUALITY OUTCOMES. ON AN ANNUAL BASIS, UNMC PHYSICIANS 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 SIMILIAR 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 FINANCIALS AND NON-FINANCIAL FACTORS DISCUSSED ABOVE ARE ACHIEVED. INCENTIVE COMPENSATION RELATED TO FY19 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: DAVID W. MERCER: $152,319 DEBORAH ROMBERGER: $166,353 CARL V. SMITH: $106,710 DANIEL DEBEHNKE: $751,005 STEPHANIE DAUBERT: $175,208 CORY SHAW: $195,704 ANNA CRAMER: $36,141 MICHAEL A. ASH: $199,000 FRANK VENUTO: $125,112 STEVEN J. LISCO: $44,879 CRAIG W. WALKER: $215,973 BRIAN J. LANCASTER: $70,176 DANIEL L. SURDELL, JR: $27,922 KEVIN L. GARVIN: $302,275 CHRISTOPHER C. GILLIS: $194,210 MICHAEL J. MOULTON: $191,569 PERRY J. JOHNSON: $126,991 SUZANNE NUSS: $111,575 HARRIS A. FRANKEL: 173,956 DENNIS BIERLE: $68,373 CHADWICK BROUGH: $135,392 Form 990, Part V, Line 1a & 1b THE NEBRASKA MEDICAL CENTER ISSUES THE FORM 1099'S ON BEHALF OF UNMC PHYSICIANS (UNMCP) AND THE EXPENSES ARE PAID BY UNMCP THROUGH THE NEBRASKA MEDICAL CENTER (TNMC) ACTING AS THEIR PAY AGENT. Form 990, Part VI, Line 2 MR. BRUCE GREWCOCK AND MR. MOGENS BAY HAVE A BUSINESS RELATIONSHIP(THROUGH BOARD OF DIRECTORS RELATIONSHIP). DR. JAMES T. CANEDY, MS. STEPHANIE DAUBERT AND DR. LOUIS BURGHER HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON REGIONAL HEALTH SERVICES). DR. JAMES T. CANEDY AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH PARTNERS). DR. JAMES T. CANEDY AND DR. LOUIS BURGER HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON COLLEGE). DR. JAMES T. CANEDY, DR. CARL SMITH, DR. DANIEL DEBEHNKE AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH NETWORK). DR. JAMES T. CANEDY AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA ORTHOPAEDIC HOSPITAL). Form 990, Part VI, Line 6 MEMBERS NEBRASKA MEDICINE IS THE SOLE MEMBER OF UNMCP. Form 990, Part VI, Line 7a GOVERNANCE, MANAGEMENT, AND DISCLOSURE EFFECTIVE 2017, UNMCP 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. UNMCP'S BYLAWS PROVIDE THAT THE MEMBERS OF UNMCP'S BOARD OF DIRECTORS SHALL BE THE SAME PERSONS WHO SERVE AS MEMBERS OF THE BOARD OF DIRECTORS OF NEBRASKA MEDICINE. THE UNMCP BOARD IS COMPRISED OF 15 DIRECTORS, SPECIFICALLY 11 VOTING DIRECTORS AND 4 EX-OFFICIO NON-VOTING DIRECTORS. Form 990, Part VI, Line 7b GOVERNANCE, MANAGEMENT, AND DISCLOSURE THE FOLLOWING POWERS ARE RESERVED TO UNMCP'S SOLE MEMBER, NEBRASKA MEDICINE: - AMENDMENT TO UNMCP'S ARTICLES OF INCORPORATION; - A MERGER OR CONSOLIDATION OF UNMCP 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 OR TNMC; OR (B) SUCH OTHER ASSETS AS THE TNMC BOARD DESIGNATES; - ENTRY INTO A NEW JOINT OPERATING AGREEMENT, INTEGRATION AGREEMENT, OR SIMILAR AGREEMENT, OR AMENDMENT TO ANY EXISTING SIMILAR AGREEMENT; - ISSUANCE OR INCURRANCE 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 UNMCP; - 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 GOVERNANCE, MANAGEMENT, AND DISCLOSURE 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 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 AND UNMCP. 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 & 15B POLICIES - COMPENSATION THE EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE OF THE UNMC PHYSICIANS 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 APPOPRIATENESS 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 PHYSICIANS AND SENIOR EXECUTIVES 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. SUCH 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 ARE REPORTED DIRECTLY TO THE COMMITTEE. THE COMMITTEE ENSURES THAT ITS REVIEW AND APPROVAL QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS 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 JUDGMENTS; 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. OBTAINED; AND D) THE ACTION(S) TAKEN BY THE COMMITTEE. Form 990, Part VI, Line 19 GOVERNANCE, MANAGEMENT, AND DISCLOSURE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST IN THE ADMINISTRATION OFFICES. The NEBRASKA MEDICAL CENTER 988145 NEBRASKA MEDICAL CENTER OMAHA NE 68198 911858433 HEALTH CARE NE 501(c)(3) 3 NM false Clarkson College 101 South 42nd Street Omaha NE 68131 363649217 College NE 501(c)(3) 2 NMC false Nebraska Medicine 987400 Nebraska Medical Center Omaha NE 68198 813158267 Support NE 501(c)(3) 12, Type 1 NA false NE Health Network 8511 Dodge Rd Omaha NE 68114 271784907 Healthcare NE NHP Related 0 0 false false NC Lab LLC 8303 Dodge ST Omaha NE 68114 461173104 Diagnostic SVC NE NMCUNMCP Related 0 0 false 0 true 0.25000 NHS Orthopaedic Services Inc 988145 Nebraska Medical Center Omaha NE 681988145 470845238 Investment SVC NE NMC C Corp 0 0 false NE Health Partners Inc 988145 Nebraska Medical Center Omaha NE 681988145 470816463 Management NE NMC C Corp 0 0 false false false true true false false false false false false true false true true true true true false false