UNMC PHYSICIANS: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- UNMC PHYSICIANS (EIN 47-0785575)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-02-12
- IRS object ID
- 201510439349301961
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-12T14:44:46-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1212 North 96th Street Suite 300 | AddressLine1 |
| City | Omaha | City |
| State | NE | State |
| ZIP Code | 68114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470785575 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNMC PHYSICIANS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % LINDA SCHOLTING | InCareOfNm |
| Business Name Control | UNMC | BusinessNameControlTxt |
| Phone | 4025599789 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 988145 Nebraska Medical Center | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Omaha | City |
| State | NE | State |
| ZIP Code | 681988145 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Carl V Smith MD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4026618742 | PhoneNum |
| Signature | 2015-02-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DONALD NEAL JR | PreparerPersonNm |
| PTIN | P00798244 | PTIN |
| Phone | 4026618742 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Mr Carl V Smith | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 988145 NEBRASKA MEDICAL CTR | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 681988145 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $249,961,294 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.unmcphysicians.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | Support the mission of UNMC, improve the health of nebraska through education, research, the highest quality patient care, and outreach to underserved populations. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1351 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $144,165 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $117,248 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $223,222,106 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $238,483,952 | CYProgramServiceRevenueAmt |
| PY Investment Income | $426,118 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,423,912 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,854,301 | PYOtherRevenueAmt |
| CY Other Revenue | $2,556,050 | CYOtherRevenueAmt |
| PY Total Revenue | $225,502,525 | PYTotalRevenueAmt |
| CY Total Revenue | $245,463,914 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $44,761,077 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $48,170,707 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $130,264,432 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $135,250,676 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,736,149 | PYOtherExpensesAmt |
| CY Other Expenses | $50,359,876 | CYOtherExpensesAmt |
| PY Total Expenses | $217,761,658 | PYTotalExpensesAmt |
| CY Total Expenses | $233,781,259 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,740,867 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,682,655 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $144,062,786 | TotalAssetsBOYAmt |
| Total Assets EOY | $165,028,007 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,161,267 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,526,177 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $99,901,519 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $119,501,830 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SUPPORT THE MISSION OF THE UNIVERSITY OF NEBRASKA MEDICAL CENTER, AND ALSO TO IMPROVE THE HEALTH OF NEBRASKA THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH, THE HIGHEST QUALITY PATIENT CARE, AND OUTREACH TO UNDERSERVED POPULATIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $233,062,622 | ExpenseAmt |
| Grant | $48,170,707 | GrantAmt |
| Revenue | $241,040,002 | RevenueAmt |
| Desc | 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 2014, UNMC PHYSICIANS SERVED MORE THAN 365 THOUSAND PATIENTS IN ITS CLINICS AND OVER 238 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 2.4 MILLION DOLLARS, AT COST, IN CHARITABLE CARE TO THE UNDERSERVED AND THOSE UNABLE TO PAY FOR MEDICALLY NECESSARY HEALTHCARE SERVICES. IN ADDITION, OVER 27 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 37 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.UNMCPHYSICIANS.COM. | Desc |
| Total Program Service Expenses | $233,062,622 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 88 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1351 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA SCHOLTING | PersonNm |
| Phone | 4025599789 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 988145 NEBRASKA MEDICAL CENTER | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 681988145 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CARL V SMITH | |||||||||
| CHAIR/PRESIDENT | 30.0 | 30.0 | Yes (X) | Yes (X) | $313,436 | $239,535 | $26,428 | ||
| MICHAEL SITORIUS | |||||||||
| VICE CHAIR/DEPARTMENT CHAIR | 30.0 | 30.0 | Yes (X) | Yes (X) | $75,232 | $247,746 | $26,469 | ||
| ROBERT MUELLEMAN | |||||||||
| SECRETARY-TREASURER/DEPT CHAIR | 30.0 | 30.0 | Yes (X) | Yes (X) | $283,958 | $181,270 | $40,541 | ||
| CHARLES ENKE | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $271,365 | $230,752 | $30,580 | |||
| CRAIG W WALKER | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $219,950 | $346,162 | $38,541 | |||
| DANIEL MURMAN | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $151,620 | $107,912 | $21,083 | |||
| DAVID W MERCER | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $514,705 | $223,420 | $41,844 | |||
| DWIGHT JONES | |||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $245,028 | $23,860 | |||
| JOHN SPARKS | |||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $220,813 | $21,829 | |||
| JULIE VOSE | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $219,913 | $144,683 | $17,691 | |||
| KEVIN GARVIN | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $471,626 | $219,482 | $33,038 | |||
| LYNELL KLASSEN | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $85,140 | $274,375 | $24,982 | |||
| MATTHEW MORMINO | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $377,584 | $117,740 | $43,853 | |||
| QUAN NGUYEN | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $266,668 | $196,297 | $41,025 | |||
| STEVE HINRICHS | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $237,918 | $219,174 | $37,011 | |||
| STEVEN LISCO | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $361,475 | $243,496 | $26,023 | |||
| STEVEN WENGEL | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $70,068 | $236,971 | $24,883 | |||
| TROY PLUMB | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $214,819 | $92,752 | $24,813 | |||
| Debra Romberger | |||||||||
| DIRECTOR | 30.0 | 30.0 | Yes (X) | $20,903 | $44,780 | $9,268 | |||
| CORY D SHAW | |||||||||
| EXEC VP/CEO/thru Dec 2013 | 30.0 | 10.0 | Yes (X) | $220,469 | $166,604 | $22,666 | |||
| DENNIS BIERLE | |||||||||
| COO | 30.0 | 10.0 | Yes (X) | $241,995 | $0 | $21,988 | |||
| TROY WILHELM | |||||||||
| CFO | 30.0 | 10.0 | Yes (X) | $260,250 | $0 | $17,881 | |||
| William Dinsmoor | |||||||||
| CEO/effective Jan 2014 | 10.0 | 45.0 | Yes (X) | $0 | $0 | ||||
| Brad Britigan MD | |||||||||
| President/effective Jan 2014 | 10.0 | 45.0 | Yes (X) | $34,694 | $369,569 | $22,701 | |||
| BRYAN SCHWAHN | |||||||||
| ADMINISTRATOR | 20.0 | 20.0 | $111,673 | $83,408 | $30,470 | Yes (X) | |||
| CARIN BORG | |||||||||
| ADMINISTRATOR | 20.0 | 20.0 | $108,202 | $106,979 | $26,449 | Yes (X) | |||
| DAVID MELLIGER | |||||||||
| ADMINISTRATOR | 20.0 | 20.0 | $78,776 | $85,210 | $22,874 | Yes (X) | |||
| LISA RUNCO | |||||||||
| ADMINISTRATOR | 20.0 | 20.0 | $97,219 | $92,392 | $27,202 | Yes (X) | |||
| ALAN LANGNAS | |||||||||
| PHYSICIAN | 50.0 | 10.0 | $799,256 | $98,601 | $41,705 | Yes (X) | |||
| DANIEL SURDELL | |||||||||
| PHYSICIAN | 50.0 | 10.0 | $468,477 | $67,985 | $46,725 | Yes (X) | |||
| MICHAEL MOULTON | |||||||||
| PHYSICIAN | 50.0 | 10.0 | $588,948 | $122,303 | $42,217 | Yes (X) | |||
| WENDY JEAN WARD | |||||||||
| PHYSICIAN | 50.0 | 10.0 | $609,783 | $76,442 | $44,170 | Yes (X) | |||
| WILLIAM THORELL | |||||||||
| PHYSICIAN | 50.0 | 10.0 | $556,718 | $81,676 | $43,970 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,332,840 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,183,557 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $964,780 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 307 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NEBRASKA MEDICAL CENTER | |||||
| 988145 Nebraska Medical Center | OMAHA | NE | 681988145 | Medical Call Center | $397,200 |
| APEX PRINT TECHNOLOGIES LLC | |||||
| PO Box 9201 | MINNEAPOLIS | MN | 554809201 | Stmt Printing & Mail | $247,393 |
| ADP | |||||
| PO Box 842875 | BOSTON | MA | 022842875 | Payroll Service | $238,206 |
| NEUROLOGY LLP | |||||
| 8901 W Dodge RD Suite 210 | OMAHA | NE | 681143442 | Physician Service | $200,000 |
| OPTUMINSIGHT | |||||
| 2771 Momentum Place | CHICAGO | IL | 60689 | Claims Manager | $179,824 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SVC REVENUE | 621400 | $164,008,553 | $164,008,553 |
| OTHER CONTRACTUAL REVENUE | 900099 | $74,475,399 | $74,475,399 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $238,483,952 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $498,248 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $144,165 | UnrelatedBusinessRevenueAmt |
| Exclusion | $354,083 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,423,044 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,497,380 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,925,664 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,925,664 | TotalRevenueColumnAmt |
| Exclusion | $3,925,664 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEPARTMENTAL MISC. DEPOSITS | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $2,556,050 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,556,050 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,556,050 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $245,463,914 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $241,040,002 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $144,165 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,279,747 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,977,405 | TotalAmt |
| Program Services | $41,977,405 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,193,302 | TotalAmt |
| Program Services | $6,193,302 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,837,679 | TotalAmt |
| Program Services | $5,837,679 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,406,189 | TotalAmt |
| Program Services | $107,406,189 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,003,404 | TotalAmt |
| Program Services | $11,003,404 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,325,839 | TotalAmt |
| Program Services | $6,325,839 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,677,565 | TotalAmt |
| Program Services | $4,677,565 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,210 | TotalAmt |
| Management And General | $392,210 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,245 | TotalAmt |
| Management And General | $79,245 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,398 | TotalAmt |
| Program Services | $389,398 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,382 | TotalAmt |
| Program Services | $287,382 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,827,905 | TotalAmt |
| Program Services | $3,827,905 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,091 | TotalAmt |
| Program Services | $153,091 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,336 | TotalAmt |
| Program Services | $79,336 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,002,394 | TotalAmt |
| Program Services | $2,002,394 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,132,810 | TotalAmt |
| Program Services | $1,885,628 | ProgramServicesAmt |
| Management And General | $247,182 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DEAN & DEPT DEVELOPMENT FUND | $10,190,831 | $10,190,831 |
| CONTRACTED PHYSICIAN SVC | $1,859,163 | $1,859,163 |
| PROVISION FOR BAD DEBT EXP | $12,517,355 | $12,517,355 |
| MEDICAL SUPPLIES/EQUIPMENT | $5,505,718 | $5,505,718 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,943,038 | TotalAmt |
| Program Services | $10,943,038 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,781,259 | TotalAmt |
| Program Services | $233,062,622 | ProgramServicesAmt |
| Management And General | $718,637 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,686,942 | BOYAmt |
| EOY | $61,043,468 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,868,952 | BOYAmt |
| EOY | $37,776,780 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $653,798 | BOYAmt |
| EOY | $903,595 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $722,864 | BOYAmt |
| EOY | $474,236 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $36,342,442 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,527,156 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,011,591 | BOYAmt |
| EOY | $16,815,286 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,868,443 | BOYAmt |
| EOY | $46,742,383 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,049,651 | BOYAmt |
| EOY | $989,382 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,200,545 | BOYAmt |
| EOY | $282,877 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,062,786 | BOYAmt |
| EOY | $165,028,007 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,500,011 | BOYAmt |
| EOY | $27,898,634 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,661,256 | BOYAmt |
| EOY | $17,627,543 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,161,267 | BOYAmt |
| EOY | $45,526,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,901,519 | BOYAmt |
| EOY | $119,501,830 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,901,519 | BOYAmt |
| EOY | $119,501,830 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,062,786 | BOYAmt |
| EOY | $165,028,007 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $11,682,655 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,917,656 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $442,860 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $345,357 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $788,217 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $204,777,880 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $218,271,919 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $218,294,260 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $225,076,407 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $241,040,002 | CurrentTaxYearAmt |
| Total | $1,107,460,468 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $205,220,740 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $218,617,276 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $218,294,260 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $225,076,407 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $241,040,002 | CurrentTaxYearAmt |
| Total | $1,108,248,685 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,069,283 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,518,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,899,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,348,364 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,616,699 | CurrentTaxYearAmt |
| Total | $200,451,948 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,069,283 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,518,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,899,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,348,364 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,616,699 | CurrentTaxYearAmt |
| Total | $200,451,948 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $907,796,737 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $403,495 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $430,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $384,618 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $426,118 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $498,248 | CurrentTaxYearAmt |
| Total | $2,142,994 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $2,181 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,248 | CurrentTaxYearAmt |
| Total | $119,429 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $403,495 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $430,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $384,618 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $428,299 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $615,496 | CurrentTaxYearAmt |
| Total | $2,262,423 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$1,743,803 | CurrentTaxYearMinus4YearsAmt |
| Total | -$1,743,803 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $203,880,432 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $219,047,791 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $218,678,878 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $225,504,706 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $241,655,498 | CurrentTaxYearAmt |
| Total | $1,108,767,305 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.81874 | PublicSupportCY509Pct |
| Public Support PY509 | 0.83687 | PublicSupportPY509Pct |
| Investment Income CY | 0.00204 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00204 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | LOSS IN JOINT VENTURE IN 2009: (1,743,803) | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $407,536 | OtherCostOrOtherBasisAmt |
| Book Value | $407,536 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,427,096 | OtherCostOrOtherBasisAmt |
| Depreciation | $606,692 | DepreciationAmt |
| Book Value | $3,820,404 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,991,308 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,701,502 | DepreciationAmt |
| Book Value | $8,289,806 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,516,502 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,218,962 | DepreciationAmt |
| Book Value | $4,297,540 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $16,815,286 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| FEES PAYABLE TO UNMC | $13,795,121 |
| RESERVE FOR SELF INSURANCE | $3,832,422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,627,543 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $196,001,186 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $7,917,656 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$57,380,384 | OtherRevenueAmt |
| Revenue Not Reported | -$49,462,728 | RevenueNotReportedAmt |
| Revenue Subtotal | $245,463,914 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $245,463,914 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $176,400,875 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $176,400,875 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $57,380,384 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $57,380,384 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $233,781,259 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2D | 12,517,355 Bad Debt Expense Reclass 6,193,302 CHARITY CARE RECLASS 38,669,727 TRANSFER TO UNMC ---------- 57,380,384 |
| PART X, LINE 2 | FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48) IS NOT APPLICABLE TO UNMC PHYSICIANS AS THEY ARE CONSIDERED A GOVERNMENTAL ENTITY FOR ACCOUNTING PURPOSES. |
| Part XII, Line 4B | 12,517,355 Bad Debt Expense Reclass 6,193,302 CHARITY CARE RECLASS 38,669,727 TRANSFER TO UNMC ---------- 57,380,384 |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | SUB-SAHARAN AFRICA | RegionTxt |
| Type Of Activities Conducted | PROGRAM SERVICES | TypeOfActivitiesConductedTxt |
| Specific Services Provided | SEE PART IV | SpecificServicesProvidedTxt |
| Region Total Expenditures | $12,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $12,000 | SubtotalSpentAmt |
| Total Spent | $12,000 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE U.S. UNMC PHYSICIANS 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 $12,000 FOR THE MEDICAL RESIDENT HOUSING. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,872,275 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,872,275 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,781,458 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,304,245 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,477,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02830 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,758 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,942 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,657,433 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,306,003 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,351,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04080 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,658 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,348,930 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,348,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $253,902 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,112 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $127,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,977,405 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $41,977,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18340 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,596,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,112 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,470,783 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.20750 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,254,328 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,432,115 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $56,822,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,059,011 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,856,822 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,796,821 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $65,473,693 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$39,676,872 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELLEVUE MEDICAL CENTER LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 MEDICAL CENTER DRIVE | AddressLine1 |
| City | BELLEVUE | City |
| State | NE | State |
| ZIP Code | 68123 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://bellevue.nebraskamed.com | WebsiteAddressTxt |
| State License | H000115 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELLEVUE MEDICAL CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 14G | BMC PROVIDES INFORMATION ON WHERE TO FIND THE FINANCIAL ASSISTANCE POLICY (FAP) ON THE BILLING STATEMENT AND IN ACCESS AREAS OF THE HOSPITAL. IT IS CLEAR TO OUR PATIENTS THAT WE HAVE A FAP AND WHERE TO FIND IT. |
| PART V, SECTION B, LINE 3 | KEY INFORMANT FOCUS GROUP DISCUSSIONS INCLUDED REPRESENTATION FROM ALL OF THE ASSESSED COUNTIES. FOCUS GROUP PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO PROVIDE INPUT REGARDING VULNERABLE OR MEDICALLY UNDERSERVED POPULATIONS, MINORITIES, AND/OR POPULATIONS WITH CHRONIC DISEASE. EIGHTY-SEVEN COMMUNITY STAKEHOLDERS, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS PARTICIPATED IN FOCUS GROUP SESSIONS HELD IN AUGUST OF 2011. |
| PART V, SECTION B, LINE 4 | BELLEVUE MEDICAL CENTER, LLC CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: ALEGENT CREIGHTON HEALTH, NEBRASKA METHODIST HEALTH SYSTEM, AND THE NEBRASKA MEDICAL CENTER. |
| PART V, SECTION B, LINE 7 | BELLEVUE MEDICAL CENTER PARTICIPATED IN COLLABORATIVE DISCUSSIONS WITH ALL OF THE LOCAL HEALTH SYSTEMS AND COUNTY HEALTH DEPARTMENTS TO DETERMINE HOW EACH OF THE IDENTIFIED NEEDS WOULD BE ADDRESSED. EACH LOCAL HEALTH SYSTEM PRIORITIZED THE CHNA-IDENTIFIED NEEDS IN A WAY THAT MOST CLOSELY ALIGNED WITH THE CORE COMPETENCIES AND PROFILE OF PATIENTS SERVED BY THAT SYSTEM. FURTHER, THE HEALTH SYSTEM COLLABORATIVE GROUP RESEARCHED AND COMPILED A LIST OF LOCAL AGENCIES/RESOURCES FOUND ON ADDRESSING EACH OF THE CHNA-IDENTIFIED NEEDS. THROUGH THOSE COLLABORATIVE DISCUSSIONS, IT WAS DETERMINED THAT EACH OF THE IDENTIFIED NEEDS IN THE COMMUNITY WILL BE COVERED BY A LOCAL HEALTH SYSTEM OR OTHER COMMUNITY AGENCY. BELLEVUE MEDICAL CENTER'S FOCUS WILL BE ON ADDRESSING DIABETES, WHICH IS PREVALENT IN THE POPULATION SERVED BY THAT FACILITY. |
| PART V, SECTION B, LINE 12I | BMC TAKES INTO CONSIDERATION OTHER FACTORS TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, INCLUDING BUT NOT LIMITED TO IF PATIENTS ARE HOMELESS, HAD DEBTS DISCHARGED THROUGH CHAPTER 7 BANKRUPTCY PROCEEDINGS OR QUALIFIES FOR FOOD STAMPS. |
| PART V, SECTION B, LINE 5 | HOSPITAL FACILITY'S WEBSITE: http://bellevue.nebraskamed.com/community_health_needs_assessment.html |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C | BELLEVUE MEDICAL CENTER IS STRUCTURED AS AN LLC AND IS A HOSPITAL. UNMC PHYSICIANS IS NOT A HOSPITAL, BUT ITS INFORMATION IS BEING REPORTED AS REQUIRED due to its ownership held in the llc. Effective May 27, 2014, UNMC Physicians sold their minority interest in Bellevue Medical Center to the Nebraska Medical Center (TNMC). As of that date, TNMC became the 100% owner of Bellevue Medical Center. Per the instructions, unmc physicians has answered part I line 3 based on the joint venture charity care policy OF The Bellevue Medical Center, which is a hospital; and not on the charity care policy of UNMC Physicians, which is not a hospital. However, unmc physician's policy is determined by the fpg level of 150% for part I line 3a and 350% for part I line 3b. |
| PART I, LINE 6A | The UNMC Physicians community benefit report can be accessed at: http://clinics.nebraskamed.com/learn-about-us.aspx Bellevue Medical Center is not a 501(c)(3) tax-exempt hospital and is therefore not required to and does not file a community benefit report. |
| PART I, LINE 7G | The organization does not have information that indicates that services are provided despite a financial loss to the organization. All subsidized services reported on Line 7G were generated by Bellevue Medical Center. Bellevue Medical Center engaged in subsidized services during the fiscal year, such as its medical observation department. |
| PART I, LINE 7, COLUMN F | The amount used to calculate the table 7 percentages is $228,921,475. This amount is derived from part ix line 25 in the amount of $233,781,259, less bad debt of $12,517,355 for unmc physicians. Per the instructions, the proportionate share of total expenses of the Bellevue medical center joint venture of $8,274,702, less bad debt of $617,131 was added to the unmc physicians' amount. |
| PART I, LINE 7 | BOTH UNMC PHYSICIANS AND BELLEVUE MEDICAL CENTER USED THE COST TO CHARGE RATIO FOR FIGURES REPORTED IN THE TABLE. THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE INSTRUCTIONS. |
| PART III, LINE 4 | Patient Service Revenue may qualify for financial assistance. The Patient is obligated to complete financial assistance forms and to submit supporting documentation to qualify. Services to patients who provide this information and qualify for assistance are not considered bad debt. Bad Debt is reported for services rendered to those unwilling to pay and /or work with the organization to provide financial assistance if available. This is only after the organization has exhausted all reasonable efforts to collect outstanding balances from the patient. If an account is determined to meet the criteria of a bad debt, the remaining balance will be written off to bad debt expense. As the organization does not have a cost accounting system, the COST OF THE BAD DEBT WAS ESTIMATED USING THE COST TO CHARGE RATIO. THERE IS NO SPECIFIC FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS FOR BAD DEBT, HOWEVER, A DISCUSSION ON NET PATIENT SERVICE REVENUE STATES, "UNMC Physicians has agreements with third party payers that provide payment to UNMC Physicians at amounts different from its established rates. Net patient service revenue is reported at the net realizable amounts from patients, third-party payers and others for services rendered." PATIENTS OF THE BELLEVUE MEDICAL CENTER KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE (ONCE ALL PAPERWORK IS RECEIVED AND APPROVED) ARE FLAGGED IN THE SYSTEM AND MONITORED ACCORDINGLY TO ENSURE FINANCIAL ASSISTANCE IS "POSTED" TO THE PATIENT ACCOUNT. WHEN THE 12 MONTH APPROVAL EXPIRES, PATIENTS ARE CONTACTED IF SERVICES HAVE BEEN RENDERED WITHIN THE LAST SIX MONTHS TO DISCUSS SUBMITTAL OF NEW INFORMATION FOR CONTINUATION OF ASSISTANCE. IF PATIENTS NO LONGER QUALIFY, OTHER PAYMENT OPTIONS ARE DISCUSSED PER ORGANIZATIONAL POLICY. Reports are utilized for follow up purposes. PATIENTS WHO QUALIFY FOR 100% ASSISTANCE DO NOT RECEIVE GUARANTOR STATEMENTS (BILLS) FROM THE ORGANIZATION. PATIENTS WHO QUALIFY FOR AN 80% OR 60% DISCOUNT WORK WITH CUSTOMER SERVICE OR COLLECTION STAFF TO OUTLINE PAYMENT ARRANGEMENTS ACCORDING TO SET POLICY. |
| PART III, LINE 8 | As a part of our mission, we will provide treatment to any patient who needs it. We have a disproportionate share of Medicare patients in the community where we provide care below our cost. This produces a loss and is considered a community benefit. Our costing methodology is the cost to charge ratio. We are not a hospital and do not have a hospital cost accounting system to produce detailed cost information at the service level. We do not have or prepare Medicare cost reports, therefore we use the cost to charge ratio. |
| PART III, LINE 9B | UNMC Physicians provides financial assistance to qualified uninsured or underinsured patients requiring non-elective medically necessary treatment. Patients known to qualify for financial assistance (after completing all paperwork and receiving approval) are identified accordingly in the financial systems to ensure financial assistance is used to cover services rendered by UNMC Physicians. Financial assistance can result in 100% assistance sliding to 20%. Consideration is given to medically necessary current charges and can extend for a period up to six months. Patients can renew every TWELVE months. A reevaluation of the patient's financial situation may be performed if the patient is unable to comply with the financial assistance arrangements. Patients receive a statement from the organization as long as they have a balance due. ALL ACCOUNTS ARE MONITORED IN THE SYSTEM TO ENSURE FINANCIAL ASSISTANCE IS "POSTED" TO THE PATIENT ACCOUNT. IF ADD'L CHARGES ARE RECEIVED AFTER THE 12 MONTHS THE PATIENT MUST SUBMIT UPDATED INFORMATION FOR CONTINUATION OF ASSISTANCE. If patients no longer qualify, other payment options are discussed per organizational policy. Reports are utilized for follow up purposes. Patients who qualify for 100% assistance do not receive guarantor statements (bills) from the organization. Patients who qualify for an 80% or LESS discount work with customer service or collection staff to outline payment arrangements according to set policy. PATIENTS OF THE BELLEVUE MEDICAL CENTER KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE (ONCE ALL PAPERWORK IS RECEIVED AND APPROVED) ARE FLAGGED IN THE SYSTEM AND MONITORED ACCORDINGLY TO ENSURE FINANCIAL ASSISTANCE IS "POSTED" TO THE PATIENT ACCOUNT. WHEN THE 12 MONTH APPROVAL EXPIRES, PATIENTS ARE CONTACTED IF SERVICES HAVE BEEN RENDERED WITHIN THE LAST SIX MONTHS TO DISCUSS SUBMITTAL OF NEW INFORMATION FOR CONTINUATION OF ASSISTANCE. IF PATIENTS NO LONGER QUALIFY, OTHER PAYMENT OPTIONS ARE DISCUSSED PER ORGANIZATIONAL POLICY. REPORTS ARE UTILIZED FOR FOLLOW UP PURPOSES. PATIENTS WHO QUALIFY FOR 100% ASSISTANCE DO NOT RECEIVE GUARANTOR STATEMENTS (BILLS) FROM THE ORGANIZATION. PATIENTS WHO QUALIFY FOR AN 80% OR 60% DISCOUNT WORK WITH CUSTOMER SERVICE OR COLLECTION STAFF TO OUTLINE PAYMENT ARRANGEMENTS ACCORDING TO SET POLICY. |
| PART V, SECTION A | UNMC Physicians supports the mission of the University of Nebraska Medical Center, to improve the Health of Nebraska through premier educational programs, innovative research, the highest quality patient care, and outreach to underserved populations. UNMC Physicians is not a hospital, however, owns 13.646702% of Bellevue Medical Center, LLC. On May 31, 2014, UNMC Physicians sold their interest in Bellevue Medical Center, LLC. Therefore, per the instructions the Schedule H includes all clinical activities of UNMC Physicians, plus the 13.646702% of hospital activity of Bellevue Medical Center, LLC through May 31, 2014. |
| NEEDS ASSESSMENT | Schedule H, Part VI, Line 2 UNMC Physicians uses disease incidence and prevalence data, leading causes of death, community health status research and supply and demand analysis to assess the health care needs of the communities it serves. Bellevue Medical Center is majority owned by The Nebraska Medical Center. UNMC Physicians HAS A MINORITY OWNERSHIP, which was sold to the nebraska medical center on may 27, 2014. Both OF THESE ORGANIZATIONS are 501(c)(3) organizations. It was determined from previous assessments that the community had a need for medical services that were not currently being fulfilled. A community needs assessment was underway in the Douglas/Sarpy County area during fiscal year 2011, and filed in 2013 as a collaborative effort between all Omaha area hospitals. this is the first needs assessment that has been performed specific to BMC. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | Schedule H, Part VI, Line 3 UNMC PHYSICIANS employs financial counselors and customer service staff, all of whom are trained in assisting our patients with resolution of the patients' liability. Depending on individual patient needs, payment arrangements or financial assistance may be offered to assist our patients with resolution of their balances. Patients are educated about the requirements and eligibility for patient assistance by financial counselors onsite at clinic locations, through brochures and pamphlets, and through the unmc physicians' website. Bellevue Medical Center employs financial counselors, customer service staff and collection staff, all of whom are trained in assisting our patients with resolution of patient liability. Depending upon individual patient needs, payment arrangements or financial assistance may be offered to assist our customers with resolution of patient balances. Additionally, the organization contracts with a company to work with our self pay population to pursue coverage through state, federal or local programs. THE CONTRACT ORGANIZATION PROVIDES THIS PATIENT POPULATION WITH FINANCIAL ASSISTANCE APPLICATIONS TO COMPLETE AS WELL, THEREFORE, IF THE PATIENT DOES NOT MEET REQUIREMENTS FOR STATE, FEDERAL OR LOCAL COVERAGE, A FINANCIAL ASSISTANCE APPLICATION CAN BE UTILIZED. |
| COMMUNITY INFORMATION | Schedule H, Part VI, Line 4 Our mission is to further the University of Nebraska Medical Center's mission by giving leading physicians the resources necessary to provide high quality health care to patients from across Nebraska and beyond. In addition, we support the missions of, and provide services to, The Nebraska Medical Center, Children's Hospital & Medical Center, and the Omaha VA Medical Center. We generally serve the local area of Omaha, but provide service to patients throughout the state of Nebraska. In addition, given our close proximity to Iowa, we serve many patients from that state as well. patients from the Omaha Metro area served by UNMC Physicians are predominately White-Non Hispanic with over 75.02% in this category. Black Non-Hispanic make up 15.25% of the population; .53% is Hispanic - White. The remaining 9.2% includes Asian, Native American, and Unknown classifications. 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. At UNMC Physicians, we recognize an individual's right to quality healthcare regardless of age, sex, race, religion, national origin, or ability to pay. In addition to providing free or reduced healthcare to low income patients, UNMC Physicians supports the community through employee volunteer hours, donations to many charities and extensive financial support of the University of Nebraska Medical Center. Because of the continued dedication of our talented physicians, we are able to significantly impact the community through leadership in many medical fields. UNMC Physicians grants credit without collateral to its patients, most of whom are local residents and are insured under third party payor arrangements. The mix of our receivables from patients as of June 30, 2014 was Medicare - 12%, Medicaid - 7%, Commercial Payors - 30%, Self-Pay - 40% and Other - 11%. Bellevue Medical Center opened on May 17, 2010 in Bellevue, NE as the first full service, public hospital serving a community of roughly 50,000 residents. The hospitals service area covers all of Sarpy County and extends throughout northern Cass County and southern Douglas County in Nebraska. The hospital also serves the men and women of Offutt Air Force base which is located within its primary market. |
| PROMOTION OF COMMUNITY HEALTH | Schedule H, Part VI, Line 5 The organization is a physician practice focused on its mission of providing exceptional patient care, education of future medical professionals for the region, and research, while supporting the community. Unmc physicians is not a hospital and therefore this question is not applicable. Bellevue Medical Center has an open medical staff policy and the leadership team is active on several community boards. Bellevue medical center is a hospital, however, it is not a tax exempt organization, and therefore this question is not applicable. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | Schedule H, Part VI, Line 7 Unmc physicians is not required to file its community benefit report with any state, however Unmc physicians does make it available to the public via the web link provided above. Bellevue medical center is also not required to file a community benefit report with any state. |
| AFFILIATED HEALTH CARE SYSTEM | Schedule H, Part VI, Line 6 UNMC Physicians is a not for profit corporation committed to supporting the mission of the University of Nebraska Medical Center ("UNMC"). It was established by UNMC to provide a vehicle for the faculty of the College of Medicine to develop an integrated practice for management of clinical activities. The mission of the University of Nebraska Medical Center is to improve the health of Nebraska through premier education programs, innovative research, the highest quality patient care, and outreach to underserved populations. As previously discussed, Bellevue Medical Center is majority owned by The Nebraska Medical Center, an IRC 501(c)(3) organization. |
| PART II | UNMC Physicians and Bellevue Medical Center, LLC pay attention to needs of the community in addition to their focus on healthcare. For example, during the year a grant was made by UNMC Physicians to a 501(c)(3) organization to promote academic performance, raise graduation rates, and increase civic and community responsibility. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF NEBRASKA MEDICAL CENTER | |||||||
| 986800 NE MED CTR | OMAHA | NE | 68198 | 470049123 | GOVT | $38,674,728 | EDUC. SUPPORT |
| UNIVERSITY OF NEBRASKA FOUNDATION | |||||||
| 8712 W DODGE RD STE 100 | OMAHA | NE | 68114 | 470379839 | 501(C)(3) | $946,735 | FURTHER EXEMPT PURP. FURTHER EXEMPT PURP. |
| BUILDING BRIGHT FUTURES | |||||||
| 1004 FARNAM ST STE 102 | OMAHA | NE | 68102 | 260436138 | 501(C)(3) | $1,958,154 | TO FURTHER EXEMPT PURPOSE FURTHER EXEMPT PURP. |
| THE NEBR MEDICAL CENTER | |||||||
| 988145 NEBRASKA MED CENTER | OMAHA | NE | 68198 | 911858433 | 501(C)(3) | $19,417 | TO FURTHER EXEMPT PURPOSE FURTHER EXEMPT PURP. |
| MADONNA FOUNDATION | |||||||
| 5401 SOUTH STREET | LINCOLN | NE | 68506 | 237159940 | 501(C)(3) | $350,000 | TO FURTHER EXEMPT PURPOSE FURTHER EXEMPT PURP. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CHARITY CARE | GrantTypeTxt |
| Recipient | 3488 | RecipientCnt |
| Non Cash Assistance | $6,193,302 | NonCashAssistanceAmt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
| Non Cash Assistance | PATIENT FIN'L ASSIST | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2 | CHARITABLE GIVING IS PRIORITIZED AS FOLLOWS: 1) HEALTH AND WELLNESS 2) HUMAN SERVICES 3) MEDICAL EDUCATION AND RESEARCH. PROCEDURES FOR MONITORING THE USE OF THE GRANT FUNDS IN THE U.S.: ALL DONATION REQUESTS MUST BE SUBMITTED TO THE CHARITABLE DONATIONS COMMITTEE AND THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. THE CFO MAY ALSO REQUEST ADDITIONAL INFORMATION, AND/OR MAKE THE APPROVAL CONTINGENT UPON THE ORGANIZATION PROVIDING ONE OR MORE REPORTS DURING OR AT THE CONCLUSION OF THE PROJECT SHOWING HOW THE GRANT FUNDS WERE SPENT. ANY SINGLE DONATION REQUEST, OR DONATIONS IN THE AGGREGATE TO ANY ONE CHARITY IN A FISCAL YEAR OF $10,000, SHALL REQUIRE THE APPROVAL OF THE UNMC PHYSICIANS BOARD OF DIRECTORS. |
| PART III | UNMC PHYSICIANS HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARL V SMITH | ||||||||||||||
| CHAIR/PRESIDENT | $308,574 | $216,535 | $4,862 | $0 | $0 | $23,000 | $7,976 | $15,678 | $0 | $2,774 | $321,412 | $257,987 | $0 | $0 |
| MICHAEL SITORIUS | ||||||||||||||
| VICE CHAIR/DEPARTMENT CHAIR | $41,732 | $247,746 | $33,500 | $0 | $0 | $0 | $0 | $20,268 | $0 | $6,273 | $75,232 | $274,287 | $0 | $0 |
| ROBERT MUELLEMAN | ||||||||||||||
| SECRETARY-TREASURER/DEPT CHAIR | $251,958 | $181,270 | $32,000 | $0 | $0 | $0 | $19,617 | $14,895 | $0 | $6,029 | $303,575 | $202,194 | $0 | $0 |
| CHARLES ENKE | ||||||||||||||
| DIRECTOR | $269,851 | $230,752 | $0 | $0 | $1,514 | $0 | $5,561 | $18,890 | $0 | $6,129 | $276,926 | $255,771 | $0 | $0 |
| CRAIG W WALKER | ||||||||||||||
| DIRECTOR | $164,950 | $323,162 | $55,000 | $0 | $0 | $23,000 | $4,274 | $28,138 | $0 | $6,321 | $224,224 | $380,621 | $0 | $0 |
| DANIEL MURMAN | ||||||||||||||
| DIRECTOR | $82,341 | $84,912 | $69,279 | $0 | $0 | $23,000 | $8,577 | $8,853 | $0 | $3,677 | $160,197 | $120,442 | $0 | $0 |
| DAVID W MERCER | ||||||||||||||
| DIRECTOR | $454,705 | $223,420 | $60,000 | $0 | $0 | $0 | $22,025 | $14,788 | $0 | $5,151 | $536,730 | $243,359 | $0 | $0 |
| DWIGHT JONES | ||||||||||||||
| DIRECTOR | $0 | $245,028 | $0 | $0 | $0 | $0 | $0 | $19,894 | $0 | $4,158 | $0 | $269,080 | $0 | $0 |
| JOHN SPARKS | ||||||||||||||
| DIRECTOR | $0 | $197,813 | $0 | $0 | $0 | $23,000 | $0 | $17,831 | $0 | $4,022 | $0 | $242,666 | $0 | $0 |
| JULIE VOSE | ||||||||||||||
| DIRECTOR | $212,378 | $121,683 | $7,535 | $0 | $0 | $23,000 | $3,674 | $11,685 | $0 | $2,332 | $223,587 | $158,700 | $0 | $0 |
| KEVIN GARVIN | ||||||||||||||
| DIRECTOR | $419,407 | $219,482 | $52,219 | $0 | $0 | $0 | $15,065 | $17,566 | $0 | $407 | $486,691 | $237,455 | $0 | $0 |
| LYNELL KLASSEN | ||||||||||||||
| DIRECTOR | $71,879 | $274,375 | $13,261 | $0 | $0 | $0 | $0 | $22,040 | $0 | $2,942 | $85,140 | $299,357 | $0 | $0 |
| MATTHEW MORMINO | ||||||||||||||
| DIRECTOR | $346,787 | $100,240 | $30,797 | $0 | $0 | $17,500 | $28,186 | $9,882 | $0 | $5,785 | $405,770 | $133,407 | $0 | $0 |
| QUAN NGUYEN | ||||||||||||||
| DIRECTOR | $266,668 | $196,297 | $0 | $0 | $0 | $0 | $21,375 | $16,333 | $0 | $3,317 | $288,043 | $215,947 | $0 | $0 |
| STEVE HINRICHS | ||||||||||||||
| DIRECTOR | $197,918 | $207,174 | $40,000 | $0 | $0 | $12,000 | $14,465 | $17,917 | $0 | $5,907 | $252,383 | $242,998 | $0 | $0 |
| STEVEN LISCO | ||||||||||||||
| DIRECTOR | $285,125 | $220,496 | $50,000 | $0 | $26,350 | $23,000 | $0 | $19,894 | $0 | $6,129 | $361,475 | $269,519 | $0 | $0 |
| STEVEN WENGEL | ||||||||||||||
| DIRECTOR | $66,618 | $236,971 | $3,450 | $0 | $0 | $0 | $0 | $19,350 | $0 | $5,569 | $70,068 | $261,890 | $0 | $0 |
| TROY PLUMB | ||||||||||||||
| DIRECTOR | $139,209 | $92,752 | $75,610 | $0 | $0 | $0 | $10,839 | $7,845 | $0 | $6,129 | $225,658 | $106,726 | $0 | $0 |
| CORY D SHAW | ||||||||||||||
| EXEC VP/CEO/thru Dec 2013 | $200,469 | $166,604 | $20,000 | $0 | $0 | $0 | $3,597 | $13,192 | $0 | $5,877 | $224,066 | $185,673 | $0 | $0 |
| DENNIS BIERLE | ||||||||||||||
| COO | $221,975 | $0 | $20,000 | $0 | $20 | $0 | $13,623 | $0 | $8,365 | $0 | $263,983 | $0 | $0 | $0 |
| TROY WILHELM | ||||||||||||||
| CFO | $226,215 | $0 | $20,000 | $0 | $14,035 | $0 | $13,245 | $0 | $4,636 | $0 | $278,131 | $0 | $0 | $0 |
| BRYAN SCHWAHN | ||||||||||||||
| ADMINISTRATOR | $111,673 | $83,408 | $0 | $0 | $0 | $0 | $18,577 | $5,764 | $0 | $6,129 | $130,250 | $95,301 | $0 | $0 |
| CARIN BORG | ||||||||||||||
| ADMINISTRATOR | $88,202 | $106,979 | $20,000 | $0 | $0 | $0 | $12,272 | $8,903 | $0 | $5,322 | $120,474 | $121,204 | $0 | $0 |
| DAVID MELLIGER | ||||||||||||||
| ADMINISTRATOR | $43,776 | $85,210 | $35,000 | $0 | $0 | $0 | $13,239 | $6,981 | $0 | $2,654 | $92,015 | $94,845 | $0 | $0 |
| LISA RUNCO | ||||||||||||||
| ADMINISTRATOR | $95,219 | $92,392 | $2,000 | $0 | $0 | $0 | $14,723 | $7,705 | $0 | $4,798 | $111,942 | $104,895 | $0 | $0 |
| ALAN LANGNAS | ||||||||||||||
| PHYSICIAN | $709,352 | $98,601 | $89,904 | $0 | $0 | $0 | $31,522 | $7,982 | $0 | $2,200 | $830,778 | $108,783 | $0 | $0 |
| DANIEL SURDELL | ||||||||||||||
| PHYSICIAN | $468,477 | $50,485 | $0 | $0 | $0 | $17,500 | $35,050 | $5,890 | $0 | $6,545 | $503,527 | $80,420 | $0 | $0 |
| MICHAEL MOULTON | ||||||||||||||
| PHYSICIAN | $499,450 | $104,803 | $60,000 | $0 | $29,498 | $17,500 | $28,044 | $10,044 | $0 | $4,129 | $616,992 | $136,476 | $0 | $0 |
| WENDY JEAN WARD | ||||||||||||||
| PHYSICIAN | $541,052 | $58,942 | $68,731 | $0 | $0 | $17,500 | $0 | $0 | $0 | $4,938 | $609,783 | $81,380 | $0 | $0 |
| WILLIAM THORELL | ||||||||||||||
| PHYSICIAN | $556,718 | $81,676 | $0 | $0 | $0 | $0 | $33,580 | $6,761 | $0 | $3,629 | $590,298 | $92,066 | $0 | $0 |
| Brad Britigan MD | ||||||||||||||
| President/effective Jan 2014 | $34,694 | $346,569 | $0 | $0 | $0 | $23,000 | $0 | $20,585 | $0 | $2,116 | $34,694 | $392,270 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, SECTION B, QUESTION 12C | GOVERNANCE, MANAGEMENT, AND DISCLOSURE - CONFLICTS OF INTEREST All Covered Persons are required to complete, on an annual basis (at a minimum), a Conflict of Interest Questionnaire and Attestation of Compliance. Any Covered Person considering activity that could create an actual or potential Conflict of Interest must immediately disclose the nature of the Conflict of Interest including all material facts within the Conflict of Interest Questionnaire and Attestation of Compliance. During the time period between annual attestations, Covered Persons are encouraged to seek counsel and advice from the Chairman of the Board of Directors (Chairman) or Chief Executive Officer (CEO) should any questions arise as to whether or not personal activity or proposed activity would be considered a Conflict of Interest. Whenever there is reason to believe that an actual or potential Conflict of Interest exists between UNMC Physicians and a Covered Person, the following procedures for reviewing a potential Conflict of Interest shall be undertaken: 1.Conflicts involving Board members or Members of Board Committees The Chairman shall serve as the Designated Reviewing Official and shall have responsibility (except when he/she is a Covered Person) to promptly bring the actual or potential Conflict of Interest to the attention of the Board for action at the next regular meeting of the Board, or during a special meeting called specifically to review the potential conflict of interest. When the Chairman has an actual or potential Conflict of Interest, the CEO shall serve as the Designated Reviewing Official. 2.Conflicts involving CEO, CFO or COO The Chairman shall serve as the Designated Reviewing Official and shall have responsibility to promptly bring the actual or potential Conflict of Interest to the attention of the Board for action at the next regular meeting of the Board, or during a special meeting called specifically to review the actual or potential Conflict of Interest. 3.Conflicts involving all other Covered Persons The CEO shall serve as the Designated Reviewing Official and shall be responsible for reviewing the actual or potential Conflict of Interest. UNMC Physicians shall refrain from acting upon any transaction involving an actual or potential Conflict of Interest until such time as the actual or potential Conflict of Interest has been reviewed and final resolution (i.e., approved, denied, and/or proposed an alternative arrangement) has been determined through the applicable process described below: Conflicts involving Board members or Members of Board Committees A) The Covered Person shall have an opportunity and must be available to provide factual information about the actual or potential Conflict of Interest. B) The Covered Person shall not participate in any way in, or be present during, the deliberations and decision-making vote with respect to such actual or potential Conflict of Interest. C) The disinterested members of the Board shall consider whether the terms of the actual or potential Conflict of Interest are fair and reasonable to UNMC Physicians and shall vote to determine final resolution. D)Final resolution of the arrangement by the disinterested members of the Board shall be by vote of a majority of directors in attendance at a meeting at which a quorum is present. A Covered Person shall not be counted for purposes of determining whether a quorum is present, nor for purposes of determining what constitutes a majority vote of Board members in attendance. 2.Conflicts involving CEO, CFO, COO A)The Covered Person shall have an opportunity and must be available to provide factual information about the actual or potential Conflict of Interest. B)The Covered Person shall not participate in any way in, or be present during, the deliberations and decision-making vote with respect to the actual or potential Conflict of Interest. C)The Chairman shall bring actual or potential Conflicts of Interest to the attention of the Board for action. Members of the Board shall consider whether the terms of the actual or potential Conflict of Interest are fair and reasonable to UNMC Physicians and shall vote to determine final resolution. D)Final resolution of the actual or potential Conflict of Interest by the disinterested members of the Board shall be by vote of a majority of directors in attendance at a meeting at which a quorum is present. 3.Conflicts involving all other Covered Persons A) The Covered Person shall have an opportunity and must be available to provide factual information about the actual or potential Conflict of Interest. B) The Covered Person shall not participate in any way in, or be present during, the deliberations and decision-making vote with respect to such actual or potential Conflict of Interest. C) The CEO shall be responsible for reviewing and determining final resolution of actual or potential Conflicts of Interest. All results shall be reported to the Chairman who may then determine whether any further board review or action is necessary. |
| PART VI, SECTION B, QUESTION 15A & 15B | POLICIES - COMPENSATION The Compensation Committee for accepting/revising/rejecting executive compensation is comprised of: 1. the Chair of the Board of Directors of UNMC Physicians ("Board"); 2. Vice Chancellor for Business and Finance of the University of Nebraska; 3. two members who are not employees of UNMC Physicians. These two members shall be appointed by the Committee Chair and are subject to approval of Board; and 4. three Board members, who are chairs of clinical departments. The Compensation Committee reviews all proposed compensation. 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. The Compensation Committee shall ensure, when reviewing and approving all compensation (subject to the Compensation Committee Policy and Procedure) 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 Compensation Committee shall: 1. ensure that no conflict of interest is present with Compensation Committee members present; 2. receive and rely upon appropriate data as to comparability from internal or external resources prior to making its determination; and 3. document the basis for its determination of reasonableness concurrently with making that determination. Such documentation shall include: a) the terms of the arrangement that was approved and the date it was approved; b) the members of the Compensation 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 Compensation Committee and how such material was obtained; and d) the action(s) taken by the Compensation Committee. AT THE END OF FISCAL 2013, UNMC PHYSICIANS RETAINED THE SERVICES OF AN INDEPENDENT CONSULTANT TO EVALUATE AND MAKE APPROPRIATE RECOMMENDATIONS ON EXECUTIVE COMPENSATION FOR FISCAL YEAR 2014. |
| 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. |
| PART VI, LINE 11B | GOVERNANCE, MANAGEMENT, AND DISCLOSURE The Form 990 is initially reviewed in detail by the Finance committee of the Board of Directors, with executive management and independent tax specialists present to assist with the review. The Committee's role is to thoroughly understand the Form 990 contents and to report to the full board of directors the results of its review. The review with the full Board of Directors is conducted prior to the filing of the Form 990 with the IRS. The Form 990 is sent to each Director of the Board one week prior to the Board Meeting at which the Form 990 will be reviewed and reported upon by the Committee. |
| PART VII, SECTION A | IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS UNIVERSITY OF NEBRASKA MEDICAL CENTER IS A PART OF THE UNIVERSITY OF NEBRASKA GOVERNED BY THE BOARD OF REGENTS. |
| PART VI, SECTION A, LINE 6 | GOVERNANCE, MANAGEMENT, AND DISCLOSURE The Corporation's Bylaws and Articles of Incorporation provide that all full time, part time and volunteer faculty members of the University of Nebraska College of Medicine who provide professional clinical healthcare services and have a separate employment arrangement with the Corporation are deemed members of the Corporation. Each full time member is entitled to one vote on any matter submitted to a vote of the members. |
| PART VI, SECTION A, LINE 7A | GOVERNANCE, MANAGEMENT, AND DISCLOSURE Four director seats on the board of directors shall be filled by and elected by the full time members of the corporation. |
| PART VI, SECTION A, LINE 7B | GOVERNANCE, MANAGEMENT, AND DISCLOSURE The Board of Regents of the University of Nebraska (Board of Regents), is a public corporate body organized and existing under the Constitution and laws of the State of Nebraska. The Corporation exists under the provisions of the medical service plan as adopted by the Board of Regents. Therefore, certain actions taken by the Corporation require approval by the Board of Regents. In addition, certain matters taken up by the Corporation's Board of Directors may require member approval. |
| PART VI, SECTION A, LINE 2 | GOVERNANCE, MANAGEMENT, AND DISCLOSURE CARL V SMITH AND MICHAEL SITORIUS HAVE A BOARD RELATIONSHIP |
| PART IV, LINE 12B | REQUIRED SCHEDULES UNMC PHYSICIANS IS A BLENDED COMPONENT UNIT OF THE UNIVERISTY OF NEBRASKA. |
| PART VI, SECTION A, LINE 1A | During the fiscal year ended June 30 2014, the Board of Directors of UNMC Physicians adopted a resolution which delegated certain authority over the governance of UNMCP to an Advisory Board comprised of Jeffrey Gold, MD, Bradley Britigan, MD., William Dinsmoor, Mogens Bay, Bruce Grewcock, Nancy Keegan, James McClurg PhD, Charles Burt, MD, Timothy Kingston, MD, Debra Romberger MD, and Carl Smith MD. The UNMCP's Board of Directors retained the authority to issue non-operating debt, matters concerning its members, and commitments of UNMCP's assets in excess of $500,000. The Board also retained the right and authority to rescind or amend the resolution at any time. This resolution and the resulting creation of an Advisory Board is an interim step towards the combination of The Nebraska Medical Center (TNMC), Bellevue Medical Center (BMC) and UNMCP to form an integrated clinical enterprise. Effective during January 2014, UNMC Physicians executive duties of President and CEO were assigned to Brad Britigan, MD and William Dinsmoor. |
| PART VI, SECTION A, LINE 9 | TROY WILHELM VICE PRESIDENT OF FINANCE UNIVERSITY OF MINNESOTA PHYSICIANS 720 WASHINGTON AVE SE MINNEAPOLIS, MN 55414 |
| Part VII, Section A, Line 1A | Brad Britigan, M.D. is an officer as of January 2014. He was not paid in 2013 as an officer, however, he did receive compensation and benefits as he served as the Dean & a Physician during 2013 for UNMC & UNMC Physicians respectively. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF NEBRASKA MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 986800 NEBRASKA MEDICAL CENTER | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68198 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470049123 | EIN |
| Primary Activities | EDUCATION | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Exempt Code Section | GOVT | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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