NEBRASKA STATE MEDICAL ASSOCIATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA STATE MEDICAL ASSOCIATION (EIN 47-0372108)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201603209349315210
Schema version
2015v2.1
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)
Return2016-11-15T16:41:31-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470526649PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DANA F COLE & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11248 O STREET SUITE 500AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68508ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

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 Line1233 SOUTH 13TH STREET No 1200AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68508ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDALE MAHLMANPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4024744472PhoneNum
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA MURRAYPreparerPersonNm
PTINP00735725PTIN
Phone4024799300PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDALE MAHLMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1233 SOUTH 13TH STREET No 1200AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68508ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,838,346GrossReceiptsAmt
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 Body23VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$389,999TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$95,758NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$892,637PYContributionsGrantsAmt
CY Contributions Grants$931,921CYContributionsGrantsAmt
PY Program Service Revenue$660,374PYProgramServiceRevenueAmt
CY Program Service Revenue$780,431CYProgramServiceRevenueAmt
PY Investment Income$139,759PYInvestmentIncomeAmt
CY Investment Income$125,994CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,692,770PYTotalRevenueAmt
CY Total Revenue$1,838,346CYTotalRevenueAmt
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$695,909PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$713,200CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$959,926PYOtherExpensesAmt
CY Other Expenses$1,356,842CYOtherExpensesAmt
PY Total Expenses$1,655,835PYTotalExpensesAmt
CY Total Expenses$2,070,042CYTotalExpensesAmt
PY Revenues Less Expenses$36,935PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$231,696CYRevenuesLessExpensesAmt
Total Assets BOY$6,400,099TotalAssetsBOYAmt
Total Assets EOY$6,040,976TotalAssetsEOYAmt
Total Liabilities BOY$1,285,219TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,344,433TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,114,880NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,696,543NetAssetsOrFundBalancesEOYAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 StmtYes (1)IndependentAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
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 Line11200 US BANK BUILDINGAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68508ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
C JOSE FRIESEN MD
DIRECTOR1.00Yes (X)$0$0$0
JAMES GIGANTELLI MD
DIRECTOR1.00Yes (X)$0$0$0
JASON KRUGER MD
SECRETARY-TREASURER1.00Yes (X)$0$0$0Yes (X)
BRITT THEDINGER MD
DIRECTOR1.00Yes (X)$0$0$0
TODD PANKRATZ MD
PRESIDENT ELECT1.00Yes (X)$7,083$0$0Yes (X)
MICHELLE SELL MD
DIRECTOR1.00Yes (X)$0$0$0
GERALD LUCKEY MD
DIRECTOR1.00Yes (X)$0$0$0
KEVIN NOHNER MD
AMA DELEGATION REP1.00Yes (X)$3,333$0$0Yes (X)
HARRIS FRANKEL MD
PRESIDENT1.00Yes (X)$15,000$0$0Yes (X)
RICHARD BLATNY SR MD
IMMEDIATE PAST PRESIDENT1.00Yes (X)$14,583$0$0Yes (X)
JANE BAILEY MD
DIRECTOR1.00Yes (X)$0$0$0
ROBERT DUNLAY JR MD
DIRECTOR1.00Yes (X)$0$0$0
DEB ESSER MD
DIRECTOR1.00Yes (X)$0$0$0
MATT HRNICEK MD
DIRECTOR1.00Yes (X)$0$0$0
TODD VOSS MD
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE WALSH MD
DIRECTOR1.00Yes (X)$0$0$0
JORDAN WARCHOL MD
RESIDENT BOARD MEMBER1.00Yes (X)$0$0$0
SWETA GOSWAMI
STUDENT BOARD MEMBER1.00Yes (X)$0$0$0
LOGAN JONES
STUDENT BOARD MEMBER1.00Yes (X)$0$0$0
APARNA KAILASAM
STUDENT BOARD MEMBER1.00Yes (X)$0$0$0
IRSA SHOIAB
STUDENT BOARD MEMBER1.00Yes (X)$0$0$0
LEAH SVINGEN
STUDENT BOARD MEMBER1.00Yes (X)$0$0$0
KC WILLIAMS
EX-OFFICIO BOARD MEMBER1.00Yes (X)$0$0$0
DALE MAHLMAN
EXECUTIVE VICE-PRESIDENT40.00$191,778$0$19,178Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$231,777TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$19,178TotalOtherCompensationAmt
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$931,921MembershipDuesAmt
Total Contributions$931,921TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUDesc
Business541900BusinessCd
Total Revenue Column$780,431TotalRevenueColumnAmt
Related Or Exempt Func Income$390,432RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$389,999UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$780,431TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$125,994TotalRevenueColumnAmt
Exclusion$125,994ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,838,346TotalRevenueColumnAmt
Related Or Exempt Func Income$390,432RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$389,999UnrelatedBusinessRevenueAmt
Exclusion$125,994ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$231,777TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$324,635TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$52,285TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$69,763TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,740TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$85,940TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,000TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,920TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$89,084TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$58,758TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$41,360TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$79,759TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,925TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,044TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
TUMOR REGISTRY$310,479
CHOOSING WISELY NEBRASK$240,624
COUNTY DUES FORWARDED T$201,532
IMIS & NMSC FEES$39,936

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$135,481TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,070,042TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,163,310BOYAmt
EOY$857,323EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,090BOYAmt
EOY$97,796EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$418,852LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$236,145LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$203,944BOYAmt
EOY$182,707EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,962,759BOYAmt
EOY$4,887,860EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,996BOYAmt
EOY$15,290EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,400,099BOYAmt
EOY$6,040,976EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$433,829BOYAmt
EOY$420,253EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$851,390BOYAmt
EOY$924,180EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,285,219BOYAmt
EOY$1,344,433EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,114,880BOYAmt
EOY$4,696,543EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,114,880BOYAmt
EOY$4,696,543EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,400,099BOYAmt
EOY$6,040,976EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$231,696ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$186,641NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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$931,921DuesAssessmentsAmt
Non Deductible Lbbyng Pltcl CY$114,609NonDeductibleLbbyngPltclCYAmt
Non Deductible Lbbyng Pltcl Tot$114,609NonDeductibleLbbyngPltclTotAmt
Aggregate Reported Dues Ntc$116,863AggregateReportedDuesNtcAmt
Taxable-$2,254TaxableAmt

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$418,852OtherCostOrOtherBasisAmt
Depreciation$236,145DepreciationAmt
Book Value$182,707BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$182,707TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMutual FundsDesc
Book Value$4,887,860BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$4,887,860TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$1,651,705TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$186,641NetUnrealizedGainsInvstAmt
Revenue Not Reported-$186,641RevenueNotReportedAmt
Revenue Subtotal$1,838,346RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,838,346TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,070,042TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,070,042ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,070,042TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDALE MAHLMANPersonNm
TitleEXECUTIVE VICE-PRESIDENTTitleTxt
Base Compensation Filing Org$184,278BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$7,500BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$19,178DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$210,956TotalCompensationFilingOrgAmt
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 11THE 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 XII, LINE 2CTHE BOARD OF DIRECTORS AND EXECUTIVE VICE-PRESIDENT APPROVE THE AUDITORS AND OVERSEE THE AUDIT PROCESS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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 S 13th Street Suite 1200LincolnNE68508237438953Peer Review OrganizationNE501(c)(6)N/A0
Nebraska Medical Foundation
233 S 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 Suite 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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
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 Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Nebraska Foundation for Medical Care
J$14,597CASH
Nebraska Foundation for Medical Care - Management Fees
Q$10,500CASH
Nebraska Medical Foundation - Management Fees
Q$22,500CASH
Nebraska Medical Services Corporation - Management Fees
Q$47,270CASH

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