2018-05-10T11:11:51-05:00 2017-06-30 KPMG LLP 1212 North 96th Street Suite 300 Omaha NE 68114 990 2016-07-01 470785575 UNMC PHYSICIANS % LINDA SCHOLTING UNMC 4025599789 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 STEPHANIE DAUBERT CFO 4025599789 2018-05-08 true DONALD NEAL JR P00798244 4023481450 2016 2022-09-23 18:48:47Z Carl V Smith MD 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 296847340 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 7 561 7 -14005 -14005 52444927 69687020 203203246 227160320 3114636 0 0 0 258762809 296847340 112209697 8466590 0 0 156288535 189171602 0 0 0 98744212 99209148 367242444 296847340 -108479635 0 86572428 86916380 75691527 77466599 10880901 9449781 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 294587038 8466590 227184011 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 2017, UNMC PHYSICIANS SERVED MORE THAN 467 THOUSAND PATIENTS IN ITS CLINICS AND OVER 269 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 8.4 MILLION DOLLARS, AT COST, IN CHARITABLE CARE TO THE UNDERSERVED AND THOSE UNABLE TO PAY FOR MEDICALLY NECESSARY HEALTHCARE SERVICES. IN ADDITION, OVER 32 PERCENT OF UNMC PHYSICIANS NET PATIENT SERVICE REVENUE CAME FROM GOVERNMENT FUNDED HEALTH INSURANCE PROGRAMS, SUCH AS MEDICAID, MEDICARE AND TRICARE. PLEASE SEE THE COMMUNITY BENEFIT REPORT FOR ADDITIONAL DETAILS AT WWW.UNMCPHYSICIANS.COM. 294587038 true true false false false false false false false false true false false true true true false true false false false false false false false false false false true true false false false false false false false false false false false false false true false false false true X 115 0 true 561 true false false false false false false false false false false X 11 7 true true true false true true true true true true false true true true true true true true true true false NE X LINDA SCHOLTING 4025599789 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 X Jeffrey Gold Director (Chairman) 1.0 0.0 X X 0 0 0 Mogens Bay Director (Vice Chair) 1.0 0.0 X X 0 0 0 James Linder Director (Secretary) 1.0 0.0 X X 0 0 0 Bruce Grewcock Director (Treasurer) 1.0 0.0 X X 0 0 0 Louis W Burgher Director 1.0 40.0 X 0 313144 16823 James T Canedy Director 1.0 40.0 X 0 517903 0 Lance M Fritz Director 1.0 0.0 X 0 0 0 Nancy Keegan Director 1.0 0.0 X 0 0 0 James E McClurg Director 1.0 0.0 X 0 0 0 Debra Romberger Director (INT Dept Chair) 50.0 1.0 X 524780 0 4405 Carl V Smith Director (OBG Dept Chair) 50.0 1.0 X 519056 0 292 Suzanne Nuss Officer - CNO 10.0 45.0 X 0 390329 25109 Stephanie Daubert Officer - NM CFO 10.0 45.0 X 0 626838 47762 Daniel DeBehnke (CEO Beginning 8/1/16) 10.0 45.0 X 0 494670 3706 Rosanna Morris Officer (CEO thru 8/1/16) 10.0 45.0 X 0 1104933 30384 Harris A Frankel CHIEF MEDICAL OFFICER 45.0 10.0 X 637922 0 2153 DENNIS D BIERLE SYSTEM CLINICAL OPERATION COO 10.0 45.0 X 0 511789 35539 CORY D SHAW CHIEF STRATEGY OFFICER 10.0 45.0 X 0 640632 51124 David W Mercer Surgery Dept Chair 50.0 0.0 X 718382 0 18500 MICHAEL ASH CHIEF TRANSFORMATION OFFICER 45.0 10.0 X 560242 0 21286 CHADWICK BROUGH CHIEF EXPERIENCE OFFICER 10.0 45.0 X 0 263819 13501 FRANK VENUTO CHIEF HUMAN CAPITAL OFFICER 10.0 45.0 X 0 514962 29212 Chris A Cornett Physician 50.0 0.0 X 1010534 0 34684 Perry J Johnson Physician 50.0 0.0 X 1067381 0 35543 Alan N Langnas Physician 50.0 0.0 X 925803 0 31495 Michael J Moulton Physician 50.0 0.0 X 926912 0 29320 Daniel L Surdell Jr Physician 50.0 0.0 X 1367991 0 36103 Bradley E Britigan FORMER PRESIDENT 0.0 0.0 X 584193 0 0 8843196 5379019 466941 521 true true false CHILDREN'S SPECIALTY PHYSICIANS 8200 DODGE STREET OMAHA NE 68114 COVERAGE & INSURANCE 1515934 NEBRASKA METHODIST HOSPITAL 8303 DODGE STREET OMAHA NE 68114 STAFFING 474781 SODEXO PO Box 360170 PITTSBURGH PA 15251 MAINTENANCE 370701 LOCUMTENENS HOLDINGS LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 STAFFING 275142 ECG MANAGEMENT CONSULTANTS 1111 THIRD AVENUE SUITE 2500 SEATTLE WA 981013201 COMP ANALYSIS 246755 17 69680020 7000 69687020 PATIENT SERVICE REVENUE 621400 206914450 206914450 OTHER CONTRACTUAL REVENUE 900099 20245870 20269561 -14005 227160320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 296847340 227184011 -14005 4301 4301 8462289 8462289 0 0 3025433 840559 2184874 0 163476365 163476365 13469368 13469368 3945776 3945776 5254660 5254660 0 75428 75428 0 0 0 0 4675031 4675031 46409 46409 1610655 1610655 795299 795299 0 3971903 3971903 421420 421420 0 106617 106617 0 0 1579660 1579660 1356117 1356117 CONTRACTED SERVICES 74014049 74014049 0 0 MEDICAL 7340702 7340702 OTHER EXPENSES 2691187 2691187 DUES AND MEMBERSHIP 524671 524671 296847340 294587038 2260302 0 620753 393745 0 0 0 0 64938902 39827904 0 0 0 0 0 3578208 0 0 0 0 36333413 24645615 13276487 11687798 3396062 0 0 0 0 0 0 0 4340224 31428725 86572428 86916380 51655662 61085523 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24035865 16381076 75691527 77466599 X 9712097 9449781 1168804 0 0 0 10880901 9449781 86572428 86916380 X 0 -1431120 X false true X true false X 0 0 23820664 52444927 69687020 145952611 225076407 241040002 200451163 203203246 227160320 1096931138 0 0 0 225076407 241040002 224271827 255648173 296847340 1242883749 0 53348364 54616699 2417166 49871466 66711547 226965242 53348364 54616699 2417166 49871466 66711547 226965242 1015918507 426118 498248 389674 792657 2106697 2181 117248 298809 905265 1323503 428299 615496 688483 1697922 3430200 0 0 225504706 241655498 224960310 257346095 296847340 1246313949 0.81514 0.82880 0.00275 0.00330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 407536 407536 4427095 941180 3485915 12982279 7316724 5665555 18516503 16387711 2128792 11687798 RECEIVABLE FROM NMC 31283067 OTHER ASSETS 145658 31428725 0 PAYABLE TO UNMC SRF 10169097 PAYROLL TAX 3940764 PAYABLE TO AFFILIATES 2271215 16381076 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, 2017. true CHARITY CARE 7440 8462289 BOOK PATIENT FIN'L 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 false true false false false true false false false Bradley E Britigan FORMER PRESIDENT 43747 0 532046 0 8400 0 0 0 3150 0 587343 0 0 0 Louis W Burgher Director 0 313144 0 0 0 0 0 0 0 16823 0 329967 0 0 James T Canedy Director 0 503959 0 0 0 13944 0 0 0 0 0 517903 0 0 Suzanne Nuss Officer - CNO 0 240083 0 121278 0 28968 0 12728 0 13295 0 416352 0 0 Debra Romberger Director (INT Dept Chair) 207697 0 317083 0 0 0 4405 0 3150 0 532335 0 0 0 Carl V Smith Director (OBG Dept Chair) 405223 0 113833 0 0 0 0 0 3442 0 522498 0 0 0 Stephanie Daubert Officer - NM CFO 0 403399 0 192850 0 30589 0 23525 0 27812 0 678175 0 0 Daniel DeBehnke (CEO Beginning 8/1/16) 0 303752 0 168010 0 22908 0 0 0 3706 0 498376 0 0 Rosanna Morris Officer (CEO thru 8/1/16) 0 510635 0 367000 0 227298 0 9075 0 22099 0 1136107 0 218767 David W Mercer Surgery Dept Chair 381299 0 337083 0 0 0 18500 0 3150 0 740032 0 0 0 Chris A Cornett Physician 778412 0 231146 0 976 0 34189 0 3645 0 1048368 0 0 0 Perry J Johnson Physician 764877 0 301957 0 547 0 32828 0 5865 0 1106074 0 0 0 Alan N Langnas Physician 824282 0 101521 0 0 0 31495 0 3150 0 960448 0 0 0 Michael J Moulton Physician 748150 0 178592 0 170 0 28017 0 4453 0 959382 0 0 0 Daniel L Surdell Jr Physician 978314 0 388577 0 1100 0 34888 0 4365 0 1407244 0 0 0 Harris A Frankel CHIEF MEDICAL OFFICER 416768 0 212198 0 8956 0 0 0 5303 0 643225 0 0 0 DENNIS D BIERLE SYSTEM CLINICAL OPERATION COO 0 341419 0 160568 0 9802 0 16825 0 21329 0 549943 0 0 CORY D SHAW CHIEF STRATEGY OFFICER 0 409290 0 203163 0 28179 0 19422 0 32627 0 692681 0 0 MICHAEL ASH CHIEF TRANSFORMATION OFFICER 364233 187609 8400 21061 3375 584678 0 CHADWICK BROUGH CHIEF EXPERIENCE OFFICER 0 197355 0 60000 0 6464 0 0 0 14145 0 277964 0 FRANK VENUTO CHIEF HUMAN CAPITAL OFFICER 0 322772 0 164350 0 27840 0 0 0 31290 0 546252 0 0 SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLANS: CERTAIN EXECUTIVES DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. A PAYOUT OCCURRED DURING THE YEAR FROM A SUPPLEMENTAL NONQUALIFIED PLAN TO THE FOLLOWING INDIVIDUAL: ROSANNA MORRIS: $218,767 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 FY17 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: BRADLEY E. BRITIGAN: $532,046 SUZANNE NUSS: $121,278 DEBRA ROMBERGER: $317,083 CARL V. SMITH: $113,833 STEPHANIE DAUBERT: $192,850 DANIEL DEBEHNKE: $168,010 ROSANNA MORRIS: $367,000 DAVID W. MERCER: $337,083 HARRIS A. FRANKEL: $212,198 DENNIS D. BIERLE: $160,568 CORY D. SHAW: $203,163 MICHAEL ASH: $187,609 CHADWICK BROUGH: $60,000 FRANK VENUTO: $164,350 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 MR. 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 MS. ROSANNA MORRIS HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON COLLEGE). DR. JAMES T. CANEDY, MS. ROSANNA MORRIS, MR. BRAD BRITIGAN 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 DURING 2015, 2016, AND 2017, 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 Since its establishment, UNMCP has 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). TNMC and CRHS have both been recognized as exempt from tax under section 501(c)(3) of the Internal Revenue Code (IRC). The BOR is a publicly-funded university. As part of UNMCPs gradual transition to the Nebraska Medicine System, effective July 1, 2016, its articles of incorporation and bylaws were significantly amended to provide the following: 1. UNMCPs purposes have been changed to provide that it shall be organized and operated exclusively for charitable, educational and scientific purposes, specifically to support and operate for the benefit of TNMC, the BOR, and other publicly supported organizations that are closely related in purpose of function to TNMC. UNMCP shall continue to operate as a faculty practice plan and provide medical care services to the public. 2. Until such time as the Nebraska Medicine member substitution occurs, UNMCP shall have one member, TNMC, which will retain the reserved power to amend UNMCPs articles and bylaws, and approve any merger, consolidation, dissolution, or sale of more than 50% of its assets. 3. Upon its dissolution, UNMCPs assets will be distributed to its member, provided it continues to qualify as exempt from tax under IRC section 501(c)(3). 4. UNMCP's Board shall be composed of the same persons serving on the board of its sole member (currently TNMC). 5. Except for those matters requiring a super-majority vote of at least 70% of eligible directors, Actions by the board shall be approved upon a 60% majority vote. Form 990, Part VI, Line 6 GOVERNANCE, MANAGEMENT, AND DISCLOSURE EFFECTIVE JULY 1, 2016, UNMCP, TNMC, NEBRASKA MEDICINE, CRHS, AND BOR ENTERED INTO THE SIA TO FORMALIZE THE GOVERNANCE AND MANAGEMENT STRUCTURE OF THE HEALTH SYSTEM KNOWN AS NEBRASKA MEDICINE. THE INTERIM CLINICAL ENTERPRISE INTEGRATION AND MANAGEMENT AGREEMENT PREVIOUSLY ENTERED INTO BY THE PARTIES EFFECTIVE JULY 1, 2014, WAS TERMINATED UPON EXECUTION OF THE SIA. UNDER THE SIA, AS OF JULY 1, 2016, TNMC BECAME THE SOLE CORPORATE MEMBER OF UNMCP. TNMC HAS TWO CORPORATE MEMBERS, CRHS AND BOR, EACH WITH 50% INTEREST. UNDER THE SIA, IT IS AGREED THAT AT A FUTURE DATE, NEBRASKA MEDICINE WILL BE SUBSTITUTED AS THE SOLE MEMBER OF UNMCP AND TNMC. NEBRASKA MEDICINE HAS THE SAME TWO CORPORATE MEMBERS AS TNMC, CRHS AND BOR. Form 990, Part VI, Line 7a GOVERNANCE, MANAGEMENT, AND DISCLOSURE The Board of Directors of the Corporation shall be the same as the Board of Directors of the Member. If at any time the Board of Directors of the Member cannot be identical to the Board of Directors of the Corporation, the Board of Directors of the Corporation shall be selected by the Board of Directors of the Member. Form 990, Part VI, Line 7b GOVERNANCE, MANAGEMENT, AND DISCLOSURE IS COMPRISED OF ELEVEN VOTING DIRECTORS OF WHICH THE COMPOSITION OF THE BOARD OF DIRECTORS OF UNMC PHYSICIANS IS THE SAME AS THE BOARD OF DIRECTORS OF THE NEBRASKA MEDICAL CENTER AND NEWLY FORMED NEBRASKA MEDICINE. UNMCP IS PARTY TO A SIA DATED JULY 1, 2016, WHICH ESTABLISHES THE STRUCTURE OF THE INTEGRATED HEALTH SYSTEM THAT INCLUDES UNMCP, TNMC, AND NEBRASKA MEDICINE. UNDER THE SIA, TNMC BECAME THE SOLE MEMBER OF UNMCP EFFECTIVE JULY 1, 2016. IT IS ANTICIPATED THAT, PURSUANT TO THE SIA, AT A FUTURE DATE, NEBRASKA MEDICINE WILL BECOME THE SOLE MEMBER OF UNMCP AND TNMC. Form 990, Part VI, Line 9 ROSANNA MORRIS, MBA, BSN, NE-BC PAST CEO 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 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 MEMBERS 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 URO HD LLC Adjustment (868,967) Minority Interest (1,169,175) TRANSFER HD LLC STOCK (347,969) Adjust year-end note in SRF 954,991 ------------ Total (1,431,120) The NEBRASKA MEDICAL CENTER 988145 NEBRASKA MEDICAL CENTER OMAHA NE 68198 911858433 HEALTH CARE NE 501(c)(3) 3 NA 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 NC LAB LLC 8303 DODGE ST OMAHA NE 68114 461173104 DIAGNOSTIC SVC NE NMC RELATED -14005 0 false -14005 true 0.25000 NHS ORTHOPAEDIC SERVICES INC 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 470845238 INVESTMENT SVC NE NMC C CORP 0 0 false NEBRASKA 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