2019-05-15T12:44:14-05:00 2018-06-30 KPMG LLP 1212 North 96th Street Suite 300 Omaha NE 68114 990 2017-07-01 470785575 UNMC Physicians (990) % LINDA SCHOLTING UNMC 4025599789 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 STEPHANIE DAUBERT CFO 4025599789 2019-05-14 true DONALD NEAL JR P00798244 4023481450 2019-05-13 167.68.102.5 47006120191345000005 2019-05-14 P 55718AD0153E791F3315D72D27656E543FED7AC8 65CF9D49F64C2267637B54237ED8CC7527705457 2017 2019-02-21 02:37:17Z X Carl V Smith MD 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 332213490 false X WWW.NEBRASKAMED.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 6 614 7 661164 295997 69687020 90831098 227160320 241382392 0 0 0 0 296847340 332213490 8466590 5650369 0 0 189171602 207944999 0 0 0 99209148 118618122 296847340 332213490 0 86916380 75487719 77466599 66037912 9449781 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 329387598 5650369 240721228 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 2018, UNMC PHYSICIANS SERVED MORE THAN 227 THOUSAND PATIENTS IN ITS CLINICS AND OVER 119 THOUSAND PATIENTS THROUGH INPATIENT AND OTHER ANCILLARY SERVICE LINES. IN ADDITION, UNMC PHYSICIANS SUPPORTS MANY COMMUNITY BASED HEALTH PROGRAMS SERVING THE POOR THROUGH DONATED FUNDS, SUPPLIES, PHYSICIAN TIME AND NURSE TIME. UNMC PHYSICIANS PROVIDED MORE THAN 5.5 MILLION DOLLARS, AT COST, IN CHARITABLE CARE TO THE UNDERSERVED AND THOSE UNABLE TO PAY FOR MEDICALLY NECESSARY HEALTHCARE SERVICES. IN ADDITION, OVER 36 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 NEBRASKA MEDICINE COMMUNITY BENEFIT REPORT FOR ADDITIONAL DETAILS AT WWW.NEBRASKAMED.COM. 329387598 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 88 0 true 614 true false false false false false false false false false false X 11 6 true true true false true true true true true true false true true true true true true true true true false X LINDA SCHOLTING 4025599789 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 X Louis W Burgher Director 1.0 40.0 X 0 213872 13843 James Canedy Director 1.0 40.0 X 0 504009 0 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 James Linder Director (Secretary) 1.0 2.0 X X 0 0 0 Bruce Grewcock Director (Treasurer) 1.0 2.0 X X 0 0 0 Lance M Fritz Director 1.0 2.0 X 0 0 0 Nancy Keegan Director 1.0 2.0 X 0 0 0 James E McClurg Director 1.0 2.0 X 0 0 0 Debra Romberger Director (INT Dept Chairman) 30.0 30.0 X 367675 0 36363 Carl V Smith Director (OBG DEPT CHAIR) 30.0 30.0 X 507876 0 44345 Suzanne Nuss Director Ex-officio - CNO 10.0 45.0 X 0 388690 56669 Stephanie Daubert Officer - NM CFO 10.0 45.0 X 0 631587 42680 Daniel DeBehnke Officer - NM CEO 10.0 45.0 X 0 1021847 14880 Harris A Frankel Chief Medical Officer 45.0 10.0 X 648806 0 45782 Dennis Bierle System Clinical Operations COO 10.0 45.0 X 0 473894 42040 Cory Shaw Chief Strategy Officer 10.0 45.0 X 0 573237 46617 Steven J Lisco Anesthesiology Dept Chairman 30.0 30.0 X 489854 0 43032 David W Mercer Surgery Dept Chairman 30.0 30.0 X 481348 0 42245 Craig W Walker RAD Dept Chairman 30.0 30.0 X 572741 0 39176 Michael A Ash EVP/Chief Transformation Ofc 30.0 30.0 X 574982 0 44605 Frank Venuto Chief Human Capital Officer 15.0 45.0 X 0 451005 46593 Chris A Cornett Physician 50.0 10.0 X 1096535 0 48150 Christopher C Gillis Physician 50.0 10.0 X 1329779 0 48150 Perry J Johnson Physician 50.0 10.0 X 1262913 0 48150 Michael J Moulton Physician 50.0 10.0 X 1016315 0 48150 Daniel L Surdell Jr Physician 50.0 10.0 X 1280086 0 48150 Rosanna Morris Officer (CEO thru 8/1/16) 0.0 0.0 X 0 150000 0 Chadwick Brough Former Chief Experience Off. 0.0 0.0 X 0 406611 24455 9628910 4814752 824075 561 true true false CHILDREN'S SPECIALTY PHYSICIANS 8200 DODGE STREET OMAHA NE 68114 Medical Services 1506000 UROLOGY CENTER PC 111 SOUTH 90TH STREET OMAHA NE 68114 MEDICAL SERVICES 1011591 ECG MANAGEMENT CONSULTANTS 1111 THIRD AVENUE STE 2500 SEATTLE WA 981013201 COMP ANALYSIS 238571 SCRIBE AMERICA LLC 1200 EAST LAS OLAS BLVD STE 201 FORT LAUDERDALE FL 33301 MEDICAL SERVICES 230961 ASHER LORI 26820 TAYOR CIRCLE VALLEY NE 68064 MEDICAL SERVICES 145690 24 90831098 90831098 PATIENT SERVICE REVENUE 621400 219891258 219891258 OTHER CONTRACTUAL REVENUE 900099 21491134 20829970 661164 241382392 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 332213490 240721228 661164 8774 8774 5641595 5641595 0 0 3872829 1084392 2788437 0 0 179770401 179770401 14908357 14908357 3990667 3990667 5402745 5402745 0 0 37455 37455 0 0 0 0 0 0 0 0 5235336 5235336 30895 30895 1592204 1592204 862158 862158 0 0 5063590 5063590 388921 388921 0 0 139073 139073 0 0 0 0 1526895 1526895 0 1059502 1059502 Contracted Services-Clinical 93899112 93899112 MEDICAL SUPPLIES & EQUIPMENT 5483640 5483640 Other 2739678 2739678 Dues and Memberships 559663 559663 332213490 329387598 2825892 0 393745 444646 0 0 0 0 39827904 43155729 0 0 0 0 3578208 2863552 0 0 0 0 36328786 26167882 11687798 10160904 0 0 0 0 0 0 0 0 31428725 18862888 86916380 75487719 61085523 51177867 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16381076 14860045 77466599 66037912 X 9449781 9449807 0 0 0 0 9449781 9449807 86916380 75487719 X 0 26 X false true X true false X 0 23820664 52444927 69687020 90831098 236783709 241040002 200451163 203203246 227160320 240721228 1112575959 0 0 0 241040002 224271827 255648173 296847340 331552326 1349359668 0 54616699 2417166 49871466 66718547 87512615 261136493 54616699 2417166 49871466 66718547 87512615 261136493 1088223175 498248 389674 792657 1680579 117248 298809 905265 295997 1617319 615496 688483 1697922 295997 3297898 0 0 241655498 224960310 257346095 296847340 331848323 1352657566 0.80451 0.81513 0.00244 0.00275 X 407536 407536 4427095 1179824 3247271 12977652 8042934 4934718 18516503 16945124 1571379 10160904 RECEIVABLE FROM NMC 18862888 18862888 0 PAYABLE TO AFFILIATES 1457219 PAYABLE TO UNMC SRF 9207343 PAYROLL TAXES 3864186 14528748 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, 2018. Sub-Saharan Africa Program Services PROMOTE MEDICAL CARE 25147 25147 25147 false false false false false false 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 $25,147 FOR THE MEDICAL RESIDENT HOUSING AND LODGING RENTAL. true University of Nebraska Foundation 1010 Lincoln Mall Lincoln NE 68508 470379839 501(C)(3) 5500 FURTHER EXEMPT PURP. GENERAL SUPPORT 1 CHARITY CARE 6548 5641595 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 Louis W Burgher Director 0 213740 0 0 0 132 0 0 0 13843 0 227715 0 0 James Canedy Director 0 504009 0 0 0 0 0 0 0 0 0 504009 0 0 Debra Romberger Director (INT Dept Chairman) 309650 0 58025 0 0 0 36363 0 0 0 404038 0 0 0 Carl V Smith Director (OBG DEPT CHAIR) 474544 0 33025 0 307 0 44345 0 0 0 552221 0 0 0 Suzanne Nuss Director Ex-officio - CNO 0 302719 0 74633 0 11338 0 32508 0 24161 0 445359 0 0 Stephanie Daubert Officer - NM CFO 0 479214 0 121736 0 30637 0 26729 0 15951 0 674267 0 0 Daniel DeBehnke Officer - NM CEO 0 804756 0 188000 0 29091 0 8100 0 6780 0 1036727 0 0 Harris A Frankel Chief Medical Officer 502300 0 132909 0 13597 0 45782 0 0 0 694588 0 0 0 Dennis Bierle System Clinical Operations COO 0 367886 0 95148 0 10860 0 19910 0 22130 0 515934 0 0 Cory Shaw Chief Strategy Officer 0 451231 0 110735 0 11271 0 22504 0 24113 0 619854 0 0 Steven J Lisco Anesthesiology Dept Chairman 437394 0 52460 0 0 0 43032 0 0 0 532886 0 0 0 David W Mercer Surgery Dept Chairman 424966 0 56382 0 0 0 42245 0 0 0 523593 0 0 0 Craig W Walker RAD Dept Chairman 332977 0 239764 0 0 0 39176 0 0 0 611917 0 0 0 Michael A Ash EVP/Chief Transformation Ofc 445769 0 120813 0 8400 0 44605 0 0 0 619587 0 0 0 Frank Venuto Chief Human Capital Officer 0 351240 0 88005 0 11760 0 23337 0 23256 0 497598 0 0 Chris A Cornett Physician 906257 0 190278 0 0 0 48150 0 0 0 1144685 0 0 0 Christopher C Gillis Physician 857998 0 471781 0 0 0 48150 0 0 0 1377929 0 0 0 Perry J Johnson Physician 914298 0 348615 0 0 0 48150 0 0 0 1311063 0 0 0 Michael J Moulton Physician 824765 0 191550 0 0 0 48150 0 0 0 1064465 0 0 0 Daniel L Surdell Jr Physician 1193820 0 86266 0 0 0 48150 0 0 0 1328236 0 0 0 Rosanna Morris Officer (CEO thru 8/1/16) 0 0 0 0 0 150000 0 0 0 0 0 150000 0 0 Chadwick Brough Former Chief Experience Off. 0 321511 0 74308 0 10792 0 4875 0 19580 0 431066 0 0 Schedule J, Part I, Line 4A The following employees were termed prior to Fiscal Year 2018 and received severance payments during calendar year 2017: Rosanna Morris: $150,000 Schedule J, Part I, Line 4B NONQUALIFIED RETIREMENT PLANS NEBRASKA MEDICINE DOES NOT HAVE ANY EMPLOYEES. 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 FY18 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: DANIEL DEBEHNKE: $188,000 DEBRA ROMBERGER: $58,025 CARL V. SMITH: $33,025 SUZANNE NUSS: $74,633 STEPHANIE DAUBERT: $121,736 HARRIS A. FRANKEL: $132,909 DENNIS BIERLE: $95,148 CORY SHAW: $110,735 STEVEN J. LISCO: $52,460 DAVID W. MERCER: $56,382 CRAIG W. WALKER: $239,764 MICHAEL A. ASH: $120,813 FRANK VENUTO: $88,005 CHRIS A. CORNETT: $190,278 CHRISTOPHER C. GILLIS: $471,781 PERRY J. JOHNSON: $348,615 MICHAEL J. MOULTON: $191,550 DANIEL L. SURDELL, JR: $86,266 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 BURGHER 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 3 EFFECTIVE JULY 1, 2016, UNMCP AND TNMC ENTERED INTO A MANAGEMENT AGREEMENT. UNDER THE TERMS OF THE AGREEMENT, UNMCP DESIGNATES TNMC AS ITS AGENT AND SERVICE PROVIDER TO PROVIDE MANAGEMENT SERVICES TO UNMCP AND TO FACILITATE THE FINANCIAL, OPERATIONAL, AND MANAGERIAL INTEGRATION OF NEBRASKA MEDICINE. EFFECTIVE JULY 1, 2016, THE HEALTH CARE OPERATIONS OF UNMCP, TNMC, AND BELLEVUE MEDICAL CENTER (BMC) WERE LEGALLY INTEGRATED AND MADE PART OF THE NEBRASKA MEDICINE HEALTH SYSTEM. WITH THE MANAGEMENT AGREEMENT, TNMC MANAGES THE DAY TO DAY FUNCTIONS FOR UNMCP INCLUDING CASH COLLECTIONS, PATIENT BILLINGS, ACCOUNTS PAYABLE AND OTHER SUPPORT FUNCTIONS. TNMC ASSUMED EMPLOYMENT FOR CERTAIN NON-PHYSICIAN STAFF AND CLINICAL EMPLOYEES AS OF DECEMBER 19, 2014. UNMCP CONTRACTED TO LEASE BACK CERTAIN CLINICAL STAFF AFTER THIS DATE TO SUPPORT THE CLINICAL ACTIVITIES. THE LEASED CLINICAL STAFF IS SHOWN AS CONTRACTED SERVICES ON THE FORM 990. IN ADDITION, TNMC ASSUMED THE FUNDING FOR CERTAIN UNMC COLLEGE OF MEDICINE COSTS AFTER 2015, UNDER AN ACADEMIC PROGRAM FUNDING AGREEMENT. THESE COSTS HISTORICALLY WERE FUNDED BY UNMCP BY TRANSFERS TO UNMC AND THEN PARTIALLY REIMBURSED BY TNMC THROUGH THEIR CONTRACTS WITH UNMCP. THIS HAS FURTHER REDUCED THE OTHER CONTRACT REVENUE. TO THE EXTENT THAT THE COSTS AND EXPENSES ATTRIBUTABLE TO UNMCP EXCEED THE CASH RECEIPTS, TNMC IS RESPONSIBLE FOR THE DIFFERENCE AND THE AMOUNT IS SHOWN AS A CONTRIBUTION FROM TNMC ON THE FORM 990. FORM 990, PART VI, LINE 4 FROM ITS ESTABLISHMENT AND UNTIL 2016, UNMCP HAD BEEN CONTROLLED BY ITS PHYSICIAN MEMBERSHIP. EFFECTIVE JULY 1, 2016, UNMCP, ALONG WITH TNMC, THE BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA (BOR), CLARKSON REGIONAL HEALTH SERVICES, INC. (CRHS), AND A NEWLY CREATED ENTITY, NEBRASKA MEDICINE, ENTERED INTO A SYSTEM INTEGRATION AGREEMENT (SIA). IN 2017, UNMCP COMPLETED ITS TRANSITION TO THE NEBRASKA MEDICINE SYSTEM, AND NEBRASKA MEDICINE WAS SUBSTITUTED AS THE SOLE CORPORATE MEMBER OF UNMCP. NEBRASKA MEDICINE IS TAX EXEMPT UNDER SECTION 501(C)(3) AND HAS TWO MEMBERS, CRHS AND THE BOR. CRHS IS RECOGNIZED AS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE BOR IS A PUBLICLY-FUNDED UNIVERSITY. EFFECTIVE 2017, ITS ARTICLES OF INCORPORATION AND BYLAWS WERE SIGNIFICANTLY AMENDED TO REFLECT THE CHANGE. Form 990, Part VI, Line 6 GOVERNANCE, MANAGEMENT, AND DISCLOSURE FROM JULY 1, 2016 UNTIL 2017, TNMC WAS THE SOLE CORPORATE MEMBER OF UNMCP AND TNMC, WHICH HAD TWO CORPORATE MEMBERS, CRHS AND BOR, EACH WITH 50% INTEREST. IN 2017, NEBRASKA MEDICINE WAS SUBSTITUTED AS THE SOLE CORPORATE MEMBER OF UNMCP AND TNMC. BOTH UNMCP AND TNMC ARE GOVERNED BY THE SAME BOARD OF DIRECTORS AS NEBRASKA MEDICINE. Form 990, Part VI, Line 7A 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 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 OF 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 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 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 9 ROSANNA MORRIS, MBA, BSN, NE-BC PAST CEO OF NEBRASKA MEDICINE BEAUMONT HOSPITAL, ROYAL OAKS 3601 W 13 MILE ROAD ROYAL OAK, MI 48073 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 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. 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. Form 990, Part XI, Line 9 TNMC Contribution Adjustment $26 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 681987400 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 0 false 0.00000 NC LAB LLC 8303 Dodge St Omaha NE 68114 461173104 DIAGNOSTIC SVC NE NMCUNMCP RELATED -16608 0 false -16608 true 0.25000 NHS ORTHOPAEDIC SERVICES INC 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 470845238 INVESTMENT SVC NE NMC C Corp 0 0 0.00000 false NEBRASKA HEALTH PARTNERS INC 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 470816463 MANAGEMENT NE NMC C Corp 0 0 0.00000 false false false true true false false false false false false true false true true true true true false false