2015-05-13T17:22:57-05:00 2014-06-30 KPMG LLP 1212 North 96th Street Suite 300 Omaha NE 68114 990 2013-07-01 911858433 The Nebraska Medical Center % LINDA SCHOLTING NEBR 4025594000 988145 NEBRASKA MEDICAL CENTER Suite OMAHA NE 681988145 Stephanie Daubert CFO 4025594000 2015-05-08 true Donald Neal JR P00798244 4025594000 2013 2016-02-25 16:41:14Z STEPHANIE DAUBERT 987400 NEBRASKA MEDICAL CENTER OMAHA NE 681987400 914268195 false X WWW.NEBRASKAMED.COM X 1997 NE TO BE THE REGION'S PREMIER MEDICAL PROVIDER BY SERVING OUR PATIENTS AND COMMUNITY THROUGH EXTRAORDINARY CARE, THE FINEST PEOPLE, AND ACADEMIC AND PRIVATE PRACTICE MEDICINE. 8 5 6317 670 3219048 90540 4951878 4850308 746303783 874097620 10357225 8537296 12119720 15361500 773732606 902846724 113208617 117545952 0 0 315326031 336746700 53667 60750 1029067 330730497 418132182 759318812 872485584 14413794 30361140 837949195 875768799 253733299 251072806 584215896 624695993 X TO BE THE REGION'S PREMIER MEDICAL PROVIDER BY SERVING OUR PATIENTS AND COMMUNITY THROUGH EXTRAORDINARY CARE, THE FINEST PEOPLE, AND ACADEMIC AND PRIVATE PRACTICE MEDICINE. true false 165240921 41424329 191829842 ONCOLOGY SERVICE LINE CANCER TREATMENT SERVICES OFFERED BY THE CORPORATION INCLUDE TREATMENT OF LYMPHOMA, LEUKEMIA, HEAD AND NECK, BREAST, GASTROINTESTINAL, LUNG, PROSTATE, GYNECOLOGIC, BLOOD, BONE MARROW, BRAIN AND SPINE CANCERS. THE PATIENTS ARE SUPPORTED BY RESEARCH THAT IS CONDUCTED ON THE CORPORATION/UNMC CAMPUS. THE CORPORATION AND PARTNER UNMC EPPLEY CANCER INSTITUTE IS THE ONLY CLINICAL CANCER CENTER IN ITS SERVICE AREA DESIGNATED BY THE NATIONAL CANCER INSTITUTE. IN ADDITION TO TREATMENT AND CLINICAL TRIALS THE CORPORATION OFFERS SUPPORT GROUPS, SOCIAL WORK, PAIN MANAGEMENT, AND A VARIETY OF ADDITIONAL PATIENT SUPPORTIVE SERVICES. IN THE FALL OF 2008, THE CORPORATION OPENED A NEW CANCER CENTER NEAR VILLAGE POINTE OFFERING OUTPATIENT SERVICES IN EFFORT TO SERVE THE GROWING DEMAND FOR EXCELLENT CANCER CARE CLOSER TO PATIENTS' HOMES. IN THE FALL OF 2011, THE CORPORATION OPENED A CANCER CLINIC AND TREATMENT CENTER AT BELLEVUE MEDICAL CENTER. IN ADDITION, AS ONE OF THE BUSIEST PROGRAMS IN THE WORLD, THE BONE MARROW TRANSPLANTATION PROGRAM SERVED 177 PATIENTS IN THE YEAR ENDED JUNE 30, 2014. THE PROGRAM BENEFITS FROM THE RESEARCH CONDUCTED ON THE CORPORATION/UNMC CAMPUS AND THE COOPERATIVE CARE PROGRAM WHICH ASSISTS PATIENTS TO PREPARE FOR AND RECOVER FROM THE TRANSPLANT IN A HOME-LIKE SETTING WITH A CARE PARTNER OF THEIR CHOOSING. THE PROGRAM IS HOUSED IN THE LIED TRANSPLANT CENTER AND RECOGNIZES THE IMPORTANCE OF ENVIRONMENT TO THE PATIENT'S OVERALL WELL-BEING. DURING FISCAL YEAR 2014, THE ONCOLOGY SERVICE LINE INCURRED OVER 83,000 CASES AND OVER 22,000 PATIENT DAYS. APPROXIMATELY 40% OF THE NET REVENUE WAS DERIVED FROM INPATIENT CASES. 108831612 18767666 114644231 CARDIOVASCULAR SERVICE LINE THE CORPORATION PROVIDES A WIDE RANGE OF CARDIOVASCULAR SERVICES FROM DIET COUNSELING TO SURGICAL PROCEDURES AND REHABILITATION. THE CORPORATION HAS BEEN SUCCESSFUL IN RECRUITING PHYSICIANS AND HAS THE ONLY HEART FAILURE SPECIALIST IN THE REGION AND THE ONLY HEART FAILURE PROGRAM CERTIFIED BY THE JOINT COMMISSION IN THE STATE OF NEBRASKA. THE CONGESTIVE HEART FAILURE PROGRAM AND ACUTE MYOCARDIAL INFARCTION PROGRAM EACH RECEIVED THE GOLD SEAL OF APPROVAL CERTIFICATION FROM AMERICAN HEART ASSOCIATION AND ARE CERTIFIED BY THE JOINT COMMISSION. THESE SERVICES ARE THE FIRST AND ONLY NATIONALLY CERTIFIED PROGRAMS OF THEIR KIND IN THE STATE OF NEBRASKA. THE CHEST PAIN CENTER HAS RECEIVED FULL CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS. THE NEBRASKA MEDICAL CENTER HAS BEEN RECOGNIZED FOR SERVICE EXCELLENCE UNDER THE J.D. POWER AND ASSOCIATES DISTINGUISHED HOSPITAL PROGRAM. WE HAVE THE ONLY JOINT COMMISSION CERTIFIED DESTINATION THERAPY PROGRAM IN THE STATE AND ARE THE ONLY HOSPITAL IN THE REGION PERFORMING HEART TRANSPLANTS AND IMPLANTING TOTAL ARTIFICIAL HEARTS. THE HOSPITAL TREATS PATIENTS FROM THE SURROUNDING REGION AND IN THE YEAR ENDED JUNE 30, 2014, APPROXIMATELY 477 OPEN HEART SURGERIES WERE PERFORMED, 30 HEART TRANSPLANTS, 55 MECHANICAL CIRCULATORY SYSTEM DEVICE IMPLANTATIONS, AND 4 TOTAL ARTIFICIAL HEART IMPLANTATIONS WERE PERFORMED. 69762275 10945694 75195041 SOLID ORGAN TRANSPLANTATION SERVICE LINE THE CORPORATION OPERATES ONE OF THE BUSIEST SOLID ORGAN TRANSPLANT PROGRAMS IN THE WORLD. IN THE YEAR ENDED JUNE 30, 2014, THE CORPORATION PERFORMED 262 SOLID ORGAN TRANSPLANTS INCLUDING LIVER, KIDNEY, HEART, PANCREAS AND SMALL BOWEL. THE SUCCESS OF THE CORPORATION'S SOLID ORGAN TRANSPLANT PROGRAM IS HEIGHTENED BY RESEARCH DONE ON THE CORPORATION/UNMC CAMPUS. PATIENTS HAVE COME TO THE CORPORATION FOR SINGLE-OR MULTIPLE-ORGAN TRANSPLANT FROM ALL 50 STATES AND FIVE CONTINENTS. DURING FISCAL YEAR 2014, THE SOLID ORGAN TRANSPLANTATION SERVICE LINE INCURRED OVER 35,346 CASES AND 12,960 PATIENT DAYS. APPROXIMATELY 80% OF THE REVENUE WAS DERIVED FROM INPATIENT CASES. 71477793 11664800 76733096 NEUROLOGY SERVICE LINE 282861194 34743463 282060861 ALL OTHER HOSPITAL 170911677 149986974 OTHER PROGRAM SERVICES 525250664 46408263 508780931 869085472 true true false true false false false true false true true false false false true true false true false false true false false true true false true true true true true true false false false false false false false false true true false false false false true true true true false false true 381 0 true 6317 true true true false false false false true true false false false false X 8 5 true false false false true true true true true false false true true true true true true true true true false X LINDA SCHOLTING 4025599789 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 X Jeffrey Gold MD Chairman effective 1/20/2014 1.0 0.0 X X 0 0 0 Bruce R Lauritzen Chairman thru 1/20/2014 1.0 0.0 X X 0 0 0 Mogens C Bay Vice Chairman 1.0 0.0 X X 0 0 0 Bruce Grewcock Treasurer 1.0 0.0 X X 0 0 0 James B Milliken Secretary thru 1/20/2014 1.0 0.0 X X 0 0 0 Dr Marlin G Stahl MEMBER & BMC CMO 55.0 0.0 X 214260 0 541 James T Canedy Member 1.0 0.0 X 0 0 0 Ronald Hollins MD Member thru 1/20/14 1.0 0.0 X 0 0 0 Harold Maurer MD Member thru 1/20/14 1.0 0.0 X 0 0 0 Gail Walling Yanney MD Member 1.0 0.0 X 0 0 0 Nancy Keegan Member 1.0 0.0 X 0 0 0 James E McClurg PHD Member 1.0 0.0 X 0 0 0 Glenn Fosdick CEO thru 12/13/2013 55.0 0.0 X 1757254 0 172787 Stephen B Smith CMO thru 3/31/2014 55.0 0.0 X 842215 0 136184 William S Dinsmoor CFO thru 1/5/2014 & CEO 54.0 1.0 X 778099 0 143301 Joe B Graham COO 55.0 0.0 X 902621 0 144994 Rosanna D Morris CNO & COO effective 1/6/2014 54.0 1.0 X 568577 0 97230 Bradley E Britigan MD President 1.0 0.0 X 0 0 0 Tadd M Pullin VP Marketing and Planning 55.0 0.0 X 459200 0 126026 Ruta P Davidson COO BMC 55.0 0.0 X 241359 0 42532 Louis W Burgher MD Clarkson College President 1.0 54.0 X 320829 0 13635 Theresa Franco Exec Dir Oncology 55.0 0.0 X 299206 0 46159 Jorge A Parodi Exec Dir CP thru 3/31/2014 55.0 0.0 X 265383 0 33772 Stephanie Daubert CFO effective 1/6/2014 55.0 0.0 X 191306 0 43995 Thomas C Macy Nebraska Orthopaedic Hosp CEO 55.0 0.0 X 245399 0 47829 Deborah K Istas Exec Dir Neuro 55.0 0.0 X 252243 0 25834 David S Fuller Interim, Chief Process Officer 55.0 0.0 X 241359 0 48494 Levi Scheppers CAO effective 1/6/2014 55.0 0.0 X 185725 0 25791 Charles D Lakso Exec Dir Diagnostic Services 55.0 0.0 X 230703 0 24757 Randall J Hallett Exec Dir Devel thru 12/31/13 55.0 0.0 X 311296 0 31240 Michael F Powell Exec Dir Pharmacy Services 55.0 0.0 X 204062 0 47157 Lisa J McClane Exec Dir Women & Children 55.0 0.0 X 198290 0 15626 Carissa SchweitzerMasek Exec Dir Enterprise Apps 55.0 0.0 X 197858 0 25890 Donald Futrell Exec Dir Fac & Clin Spc plng 55.0 0.0 X 199594 0 35220 Mark W Weiss Exec Dir Enterprise Tech Serv 55.0 0.0 X 192816 0 23710 Jana Danielson Exec Dir Revenue Cycle 55.0 0.0 X 194967 0 16467 Connie S Ogden Exec Dir Acute Adult Services 55.0 0.0 X 187311 0 16930 Julie Lazure Exec Dir Acute Care Program 55.0 0.0 X 174894 0 35287 Mandy Constantine Exec Dir Telehealth 55.0 0.0 X 187194 0 6465 Crista Madsen Exec Dir Mktg & Communications 55.0 0.0 X 154541 0 26165 Marcel Devetten MD Associate CMO thru 12/31/2014 55.0 0.0 X 278743 0 32547 Cynthia D Owen Quality & Compliance Advisor 55.0 0.0 X 344895 0 4140 Steven J Wees MD Physician 55.0 0.0 X 245140 0 31535 Chad Whyte Physician 55.0 0.0 X 221986 0 38070 Richard Hurd Physician 55.0 0.0 X 223357 0 23125 11512682 0 1583435 261 false true false UNMC PHYSICIANS 988101 NEBRASKA MEDCIAL CENTER OMAHA NE 681988101 MEDICAL SERVICES 22561231 UNMC 984290 NEBRASKA MEDICAL CENTER OMAHA NE 681984290 MEDICAL SERVICES 14893194 DELOITTE TOUCHE LLP FIRST NATIONAL TOWER 1601 DODGE ST OMAHA NE 681029706 PROFESSIONAL FEES 10089446 CARDINAL HEALTH 5840 F ST OMAHA NE 68117 MANAGEMENT FEE 7148199 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 IT SERVICES/EHR IMPL 4521688 118 576860 1234624 3038824 4850308 NET PATIENT REVENUE 900099 853720956 853720956 LAB ADMINISTRATION 900099 5818476 5818476 EHR INCENTIVE PAYMENTS 900099 4228137 4228137 REMOTE PHARMACY SERVICES 446110 3798870 3685009 113861 POISON CONTROL 900099 1983919 1983919 4547262 4547262 874097620 6945280 6945280 0 0 4473131 540468 4473131 540468 5013599 2070408 2943191 11771447 1026056 9952883 1252604 1818564 -226548 1592016 1592016 8100 576860 215984 -207884 -207884 0 0 ENVIRONMENTAL SVCS 900099 3331910 3331910 ONE CHART 446110 1957427 1933735 23692 FAMILY PLACE 900099 795261 795261 4471187 3460100 1011087 10555785 902846724 890450045 3219048 4327323 71467635 71467635 46078317 46078317 0 0 10198741 10198741 0 261548048 260952926 595122 21912014 21868994 43020 23933077 23898770 34307 19154820 19120927 33893 0 1303972 1303972 1067073 1067073 72842 72842 60750 60750 300020 300020 85365574 85301717 63857 4403213 4403213 5001473 4985350 16123 0 0 7654241 7654241 830671 824117 6554 0 338281 336401 1880 3697565 3697565 0 51644962 51635628 9334 3472425 3472425 PHARMACY & OTHER M&C 179166429 179166429 REPAIRS & MAINTENANCE 21395167 21395167 AFFILIATED PURCHASES & AGRMNTS 17420146 17384836 35310 EQUIPMENT RENTALS/LEASES 19917138 19868169 48969 15080990 15001042 79948 872485584 869085472 2371045 1029067 84597960 113019277 162423912 166094655 164895 158800 110896687 126250391 0 0 0 0 4057952 3004290 4171169 4768739 11218829 11726481 933048116 568828408 371611514 364219708 38777618 45540024 9936693 10817240 0 0 0 0 40091966 30169194 837949195 875768799 124368293 117873899 0 0 0 0 77386744 62788474 0 0 0 0 10353473 38834872 0 0 41624789 31575561 253733299 251072806 X 572891657 612301096 9672927 10758435 1651312 1636462 584215896 624695993 837949195 875768799 X 30361140 3625707 6493250 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 72842 72842 false SCHEDULE C, PART II-B, LINE 1I THIS AMOUNT CONSISTS OF HOSPITAL LOBBYING DUES PAID THROUGH ANNUAL DUES OF THE NATIONAL AND STATE HOSPITAL ASSOCIATIONS AND AN AMOUNT PAID TO BROMM & ASSOCIATES, LLC (LAW FIRM) FOR LOBBYING. 630351 X false 11334983 705663 937864 575424 12403086 11324608 608313 378953 976891 11334983 9728657 2441330 111526 956905 11324608 15906146 -3167621 274128 3283996 9728657 14503430 1477127 356880 0 431291 15906146 0.13000 0.87000 false false 12337152 12337152 170897124 96985674 73911450 5464537 3044248 2420289 739840519 464631327 275209192 4508784 4167159 341625 364219708 0 DUE TO AFFILIATES 12104952 OTHER LONG-TERM LIABILITIES 10959420 THIRD PARTY PAYOR SETTLEMENT 8511189 31575561 X Description of Art Collection SCHEDULE D, Part III, Line 4 THE HOSPITAL DISPLAYS ITS COLLECTION OF ART THROUGHOUT THE WALLS OF THE ORGANIZATION. IT IS A COLLECTION OF IMAGES & PORTRAITS TAKEN OF VARIOUS CULTURES AROUND THE WORLD & PORTRAYS THE HOSPITAL'S CULTURE OF PROVIDING MEDICAL CARE TO PEOPLE OF ALL CULTURES. ENDOWMENT FUNDS SchEDULE D, Part V, Line 4 THE MAJORITY OF THE ENDOWMENT FUNDS HELD BY THE HOSPITAL ARE HELD IN ORDER TO EARN INTEREST IN ORDER TO PROVIDE SCHOLARSHIPS OR EDUCATION FOR EMPLOYEES OF THE HOSPITAL. THE TERM ENDOWMENT FUNDS INCLUDE CHARITABLE GIFT ANNUITIES. THE CONTRIBUTIONS WERE MADE TO THE HOSPITAL AND INTEREST IS PAID BACK TO THE CONTRIBUTOR AS AN ANNUITY UNTIL THE TIME OF THEIR PASSING. WHEN THIS OCCURS, THE BALANCE OF THE ANNUITY IS NO LONGER ENDOWED. FIN 48 FOOTNOTE SchEDULE D, Part X, Line 2 NMC HAS ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109 (FIN 48). FIN 48 PROVIDES SPECIFIC GUIDANCE ON HOW TO ADDRESS UNCERTAINTY IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES, PRESCRIBING RECOGNITION THRESHOLDS AND MEASUREMENT ATTRIBUTES. THERE WERE NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2014 OR 2013. North America Program Services PROMOTE MEDICAL CARE 1944 East Asia and the Pacific Program Services PROMOTE MEDICAL CARE 9914 Middle East and North Africa Program Services PROMOTE MEDICAL CARE 20314 South Asia Program Services PROMOTE MEDICAL CARE 24451 56623 56623 false false false false false false INTERNATIONAL ACTIVITIES SchEDULE F, Part I INTERNATIONAL ACTIVITIES INCLUDE TRAVEL TO THESE REGIONS FOR MARKETING AND PROMOTION OF INTERNATIONAL PROGRAM OF THE NEBRASKA MEDICAL CENTER INCLUDING PATIENT CARE, TRAINING, AND EDUCATION. X X X X X true BETHANY OCHSER 802 N 66TH STREET OMAHA NE 68132 GRANT WRITING false 46780 -46780 CHAD GOBEL GOBEL PHILANTHROPY 2 STATE STREET ROCHESTER NY 14614 CONSULTANT WRITING false 12000 -12000 58780 -58780 POLO 584960 576860 8100 3891 127137 29064 15807 40085 0 0 0 0 0 0 0 0 0 0 584960 576860 8100 0 3891 127137 29064 15807 40085 215984 -207884 true true X true X true X true true true false true true 5663 14265740 14265740 0.01560 58087 112160842 83715730 28445112 0.03110 1238 1752477 1534102 218375 0.00020 64988 128179059 85249832 42929227 0.04690 8 134807 2157364 1160291 997073 0.00110 4 477 18576365 9291717 9284648 0.01020 9 26737592 19922979 6914613 0.00760 1 4314000 1264885 3049115 0.00330 6 145 54443634 54443634 0.05950 28 135429 106228955 31639872 74689083 0.08170 28 200417 234408014 116889704 117618310 0.12860 1 247788 16760 231028 0.00030 2 425 200720 200720 0.00020 3 425 448508 16760 431748 0.00050 true 25430063 177241598 194424994 -17183396 X true true NEB ORTHO HOSPITAL ORTHOPEDIC HOSPITAL 0.45940 BELLEVUE MEDICAL CTR Acute Care Hospital 0.67630 0.10080 2 1 The Nebraska Medical Center 987400 Nebraska Medical Center Omaha NE 68198 http://www.nebraskamed.com/ 260011 X X X X A 2 Bellevue Medical Center LLC 2500 Bellevue Medical Center Drive bellevue NE 68123 http://bellevue.nebraskamed.com/ H000115 X X X A Group A true X X X X X X X X X 12 true true true X See PART V, SECTION C X See PART V, SECTION C X X X X false false true true 200. true 400. true X X X X X true true X X true false X X X X true X false false Part V, Section B, Line 3 (CHNA) For The Nebraska Medical Center and Bellevue Medical Center For the comprehensive CHNA process, a steering committee comprised of key stakeholders from area health systems, local county health department representatives, and key informants from several community agencies worked collaboratively to oversee the process. The CHNA steering committee retained Professional Research Consultants (PRC), Inc. to conduct the survey. PRC is a nationally recognized health care consulting firm with extensive experience conducting CHNAs such as this in hundreds of communities across the United States since 1994. INPUT FROM COMMUNITY STAKEHOLDERS 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: A full list of participating key informant focus groups and their areas of expertise can be found here: http://www.nebraskamed.com/about-us/community/community-health-needs-asses sments CHNA Steering Committee Participant Names Below is a listing of the participants and the sponsoring organizations represented in the original CHNA Steering Committee formed in 2011. Alegent Creighton Health: Beth Llewellyn- Vice President, Mission Integration Mikki Frost- Director, Community Benefit and Healthier Communities Douglas County Health Department: Dr. Adi Pour- Health Director Mary Balluff- Division Chief, Community Health and Nutrition Services Live Well Omaha: Kerri Peterson- Executive Director Methodist Health System: Ken Klaasmeyer- Vice President Ruth Freed- Director of Clinical Alignment Jeff Prochaska- Director, Strategic Planning Visiting Nurses Association/Pottawattamie County: Kris Stapp- Vice President, Community Health Service Sarpy/Cass County Health Department: Diane Kelly- Health Director The Nebraska Medical Center: Tadd Pullin- Senior Vice President, Marketing, Strategic Planning and Network Ops Annette Wolfe- Director, Strategic Planning Leslie Spethman- Gift Officer/Community Relations and Community Benefit Part V, Section B, Line 4 The CHNA was conducted with other hospital and community based facilities as listed below: The Nebraska Medical Center and Bellevue Medical Center Alegent Creighton Health System Methodist Health System Douglas, Sarpy, Cass and Pottawattamie County Health Departments Live Well Omaha Part V, Section B, LIne 5A http://www.nebraskamed.com/about-us/community/community-health-needs-asses sments Part V, Section B, Line 5b: HTTP://WWW.DOUGLASCOHEALTH.ORG/JAVASCRIPT/HTMLEDITOR/UPLOADS/2011_CHNA_REP ORT___OMAHA_METRO_AREA__DOUGLAS__SARPY__CASS___POTTAWATTAMIE_COS_.PDF Part V, Section B, Line 7 TNMC or its partners have current programs and services in place to address each of the nine CHNA- identified community needs. However, in order to make meaningful impact, and to use its finances most effectively and efficiently, TNMC will place a primary focus on Diabetes, Heart and Stroke, and Access to care. However, it has no plans to discontinue other community benefit efforts addressing the remaining CHNA-identified needs, and may touch upon each of these categories within its efforts to address issues surrounding access to care in underserved populations. Further, in order to ensure all identified needs will be addressed in the community, TNMC met with the other local health systems and County health departments to discuss the CHNA-identified community needs and look for opportunities to collaborate. The identified needs not being addressed by TNMC are identified as Nutrition/Weights Status, Maternal, Infant, and Child Health, Mental Disorders and Substance Abuse, Oral Health, and Sexually Transmitted Diseases. Each of these remaining CHNA-identified needs are being addressed by one of the other community health systems, local university medical schools, County health departments, or community-based organizations. A full listing of these are provided in TNMC's CHNA report and can be found here: http://www.nebraskamed.com/about-us/community/community-health-needs-asses sments. BMC is majority owned by the Nebraska Medical Center (NMC). UNMC Physicians had a minority ownership through may 31, 2014. Both organizations are 501(c)(3) organizations. It was determined that the community had a need for medical services that was not currently being fulfilled. Between the two organizations they owned over 80% of BMC through 12/31/2013 and 100% from 1/1/2-14 - 5/31/2014. As of June 1,2014, TNMC owned 100% of BMC LLC as it became a single member LLC. Implementation Strategy Plan Update The Nebraska Medical Center's 2012 CHNA identified nine community needs, of which the following health needs were prioritized: Heart Disease and Stroke, Access to Care, and Diabetes. During fiscal year 2014, The Nebraska Medical Center began implementation of its heath improvement plan and made the following, to name a few, community health improvements: -Targeted community health education and outreach events aimed at reaching underserved populations as identified by the CHNA -Greater collaboration with the UNMC College of Public Health's Center for Reducing Health Disparities and UNMC's Urban Advisory Council -Designed urban telehealth project to increase access to care in underserved diabetic patients -Provided expanded urgent care hours. The implementation strategy plan can be found online at: http://www.nebraskamed.com/about-us/community/community-health-needs-asses sments Part V, Section B, Line 12h POLICY FN16: DISCOUNT/FINANCIAL ADJUSTMENTS TALKS ABOUT "DISCOUNTS FOR PATIENTS WITH NON THIRD-PARTY PAYMENT SOURCE," DISCOUNTS, SIMILAR TO DISCOUNTS OFFERED TO MANAGED CARE PLANS, ARE OFFERED FOR MOST PATIENTS THAT DO NOT HAVE THIRD-PARTY INSURANCE AND DO NOT MEET THE GUIDELINES FOR GOVERNMENTAL ASSISTANCE PROGRAMS. THIS DISCOUNT IS SUBJECT TO CHANGE BASED ON THE RATES AGREED UPON THROUGH MANAGED CARE CONTRACTS. THESE DISCOUNTS ARE INDEPENDENT OF THE CHARITY ADJUSTMENTS, AND THAT CHARITY ADJUSTMENTS ARE APPLIED AFTER THE SELF-PAY ADJUSTMENT IS APPLIED TO THE BILLED CHARGES. Part V, Section B, Line 14G INFORMATION ON HOW TO GET FINANCIAL ASSISTANCE IS POSTED ON THE WEBSITE UNDER PATIENT FRIENDLY BILLING WHICH IS LOCATED UNDER THE PATIENT & VISITORS SECTION. THERE ARE DEPARTMENTS LISTED WITH PHONE NUMBERS TO CALL FOR MORE INFORMATION OR TO SET UP AN APPOINTMENT. 8 Nebraska Medical Center Radiology 2727 S 144th St Ste 120 Omaha NE 68144 Provider Based Radiology Department Nebraska Medical Center Laboratory 2727 S 144th St Ste 160 Omaha NE 68144 Provider Based Laboratory Department NMC - Bellevue Pharmacy 2510 Bellevue Medical Ctr Dr Ste Bellevue NE 68123 Pharmacy Cancer Ctr at VillAge Point Med Center 111 N 175th Street Omaha NE 68118 Oncology, Radiology, Pathology, Pharmacy , Treatment NMC - Bellevue Cancer Services 2510 Bellevue Med Ctr Dr Bellevue NE 68123 Infusion Services Oncology Clinic NMC Cardiology Imaging 2727 S 144th St STE 290 Omaha NE 68144 Cardiology Imaging NMC Village Pointe endoscopy center 111 N 175th street omaha NE 68118 Endoscopy services NMC Bellevue Cancer Services 2500 Bellevue Med Ctr Dr RMS 224- Bellevue NE 68123 Infusion services Part I, Line 3C NOT APPLICABLE AS THE ORGANIZATION DOES FOLLOW FPG TO DETERMINE ELIGIBILITY FOR PROVIDING FEE CARE TO LOW INCOME INDIVIDUALS. Part I, Line 6A THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE ACCESSED AT http://www.nebraskamed.com/app_files/pdf/community/benefit-report/communit y-benifit-report-2013.pdf. Part I, Line 7G PHYSICIAN CLINICS WERE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES CALCULATION RESULTING IN ADDITIONAL NET COMMUNITY BENEFIT EXPENSE OF $1,952,811. Part I, Line 7, Column F The denominator used to calculate the percentages in column (f) is 914,611,510. This number is calculated by taking the total expenses from Part IX, Line 25 of 872,485,584 and adding in the expenses (less bad debt) of 42,125,926 which represents TNMC's percentage of expense in BMC LLC. Part I, Line 7 THESE NUMBERS ARE COMPUTED IN A COST ACCOUNTING SYSTEM THAT PRODUCES A COST FOR EVERY SERVICE THE HOSPITAL PROVIDES. RELATIVE VALUE UNITS, FOR SEVEN CATEGORIES OF EXPENSE, ARE UPDATED ANNUALLY FOR EACH PATIENT SERVICE WHICH KEEPS THE COST ACCOUNTING CURRENT. THESE COSTS PER UNIT VALUES ARE APPLIED TO THE PATIENT UTILIZATION TO COMPUTE THE TOTAL COST. THE COST ACCOUNTED TOTAL IS TIED BACK TO THE HOSPITAL'S FINANCIAL STATEMENTS TO ENSURE SYSTEM INTEGRITY. Part II, Community Building Activities Community-building activities are designed to address the root causes of health problems. Poverty, homelessness and environmental problems all contribute to poor health. The types of programs included in this category support workforce development and training programs to provide employment and leadership skills training, job shadowing for students interested in health careers and economic development support grants to help revitalize low-income areas and businesses. Part III, Line 2 & 4 THE ORGANIZATION'S FOOTNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE SPECIFICALLY COVERING BAD DEBT EXPENSE. THOUGH PATIENT INCOME MAY QUALIFY THEM FOR FINANCIAL ASSISTANCE, THE PATIENT HAS OBLIGATIONS AS WELL TO COMPLETE FINANCIAL ASSISTANCE FORMS AND TO SUBMIT SUPPORTING DOCUMENTATION TO QUALIFY. PATIENTS WHO PROVIDE THIS INFORMATION AND QUALIFY FOR ASSISTANCE WOULD NEVER GO TO BAD DEBT. THEREFORE, IT IS REASONABLE TO STATE THAT OUR BAD DEBT EXPENSE IS FOR THOSE UNWILLING TO PAY OR UNWILLING TO WORK WITH US TO PROVIDE FINANCIAL ASSISTANCE IF AVAILABLE. IF AN ACCOUNT IS COMPLETELY WRITTEN OFF TO BAD DEBT, THE TOTAL COST VIA THE COST ACCOUNTING SYSTEM IS APPLIED. IF ONLY A PORTION OF THE ACCOUNT WAS WRITTEN OFF TO BAD DEBT, THEN BAD DEBT AS A PERCENTAGE OF CHARGE IS THEN APPLIED TO THE TOTAL COST FOR THE ENCOUNTER TO ESTIMATE THE COST ASSOCIATED WITH THE BAD DEBT. THE AMOUNT THAT GOES TO COLLECTIONS IS PATIENT LIABILITY. NOT COLLECTING THESE DOLLARS IS A DIRECT EXPENSE TO THE ORGANIZATION. AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, IT IS OUR RESPONSIBILITY TO HELP ANYONE WHO PRESENTS THEMSELVES WITH A HEALTH ISSUE; AS SUCH WE HAVE LESS CONTROL OVER WHAT GETS RECOGNIZED AS BAD DEBT. TO COMPUTE BAD DEBT AT COST, MANAGEMENT USED ALL DISCHARGED CASES IN PRIOR FISCAL YEAR WITH BAD DEBT WRITE-OFF. THE WRITE-OFF WAS COMPUTED AS A PERCENTAGE OF CHARGE AND THEN MULTIPLIED BY THE TOTAL COST (DETERMINED BY A DETAILED COST ACCOUNTING METHODOLOGY) TO ESTIMATE THE COST OF BAD DEBT. Part III, Line 8 OVERALL MEDICARE PATIENTS PRODUCE A NEGATIVE 7% MARGIN ON GROSS CHARGES. THIS IS SPREAD ACROSS MOST OF OUR PRODUCT LINES. OUR HEAVIEST LOSSES ARE FROM THE INPATIENT NEUROLOGY, ONCOLOGY AND CARDIAC PRODUCT LINES AND FROM ONCOLOGY AND SURGERY ON THE OUTPATIENT SIDE. IN GENERAL MEDICARE INPATIENTS DO COVER THE DIRECT COSTS OF PROVIDING THEIR CARE. HOWEVER, THE INDIRECT COSTS TO SUPPORT THE HOSPITAL MUST BE ACCOUNTED FOR AND TURNS THE MARGIN NEGATIVE. THESE NUMBERS ARE COMPUTED IN A COST ACCOUNTING SYSTEM THAT PRODUCES A COST FOR EVERY SERVICE THE HOSPITAL PROVIDES. THE SYSTEM IS UPDATED ANNUALLY AND TIED TO OUR FINANCIAL STATEMENTS TO ENSURE INTEGRITY OF THE PRODUCT LINE PROFITABILITY STATEMENTS. Part III, Line 9B A PATIENT 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 PAYMENTS 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 D We do not have rehabilitation, free standing diagnostic facilities, or skilled nursing. Our off site diagnostic services are included on our hospital license and our hospital ancillary services are hospital based and included on our license. Schedule H, Part VI, Line 2 Needs Assessment NMC 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. ADDITIONALLY, NMC ENGAGED PROFESSIONAL RESEARCH CONSULTANTS (PRC) TO PERFORM A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH THE LOCAL HEALTH SYSTEMS AND COUNTY HEALTH DEPARTMENTS. Schedule H, Part VI, Line 3 Patient Education of Eligibility for Assistance NMC and BMC employ 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 works with our self pay population to pursue coverage through state, federal or local programs. Charity Care Policy: This policy outlines the guidelines Patient Financial Services (PFS) will use to ensure adequate and appropriate follow up is completed in order for qualifying patients to receive charity care. PFS will work with patients to find payment solutions when available. This policy is written to ensure a fair and comprehensive system of distributing charity care to financially burdened patients within the available resources of NMC in a manner that does not discriminate based on race, creed, color, sex, national origin, religion or age. Policy: A. Charity care is available when all other recovery sources have been exhausted. B. Charity care is provided to patients who have demonstrated inability to meet their financial obligation to NMC. C. Charity care will not be approved for elective and/or cosmetic care. D. Charity care may be approved in the instance of catastrophic care as defined. 1. This could be occasioned by a personal catastrophe or unavoidable crisis affecting an individual who would otherwise be able to pay for service, or a person who has income above poverty level but is still not able to pay the entire cost of service. 2. A patient generally may qualify for catastrophic charity care in instances where the patient liability is in excess of 25% of annual household income. E. All transplant and IRP patients must meet with a Transplant Financial Counselor to secure financial clearance. Transplant and IRP patients must pass financial screening (ACCESS-FIC-082) or must be approved via the Transplant Variance Policy (FN 21) Charity approval for other services prior to consideration for transplant does not meet this requirement. F. Prior approval for charity care does not apply for future elective or cosmetic procedures. GUIDELINES: A. Identification process 1) The hospital maintains a separate policy in order to assure compliance with the emergency medical treatment and active labor act (EMTALA) and a separate patient rights and organizational ethics policy. This charity care policy is subject to the terms of those policies. 2) Financial counselors authorized by NMC will identify patients requiring financial screening. B. Verification of Insurance Eligibility and Benefits 1) The patient will execute an assignment of insurance benefits on behalf of the hospital. 2) Verification of eligibility, benefits, and payer source will be performed in a timely manner according to patient finance and access services departmental procedures. C. Financial Counseling 1) Financial Counselors and contracted vendors will assist patients requiring financial assistance. 2) Financial Counselors and vendors will assist patients in seeking reimbursement from local, state, and federal programs when there is no other source of payment as well as assisting patients with applications or making appointments to qualify for government programs. 3) Patients are responsible for follow up meetings with an agency that may provide financial resources for health care services. Charity assistance may be terminated at any time due to non compliance with this expectation. Schedule H, Part VI, Line 4 Community Information WE SERVE MANY COMMUNITIES, INTERNATIONAL, REGIONAL, STATE AND LOCAL OMAHA. THE STATISTICS BELOW DESCRIBE OUR "LOCAL" OMAHA COMMUNITY DEFINED AS DOUGLAS AND SARPY COUNTIES IN NEBRASKA. THIS LOCAL AREA REPRESENTS APPROXIMATELY 69% OF OUR INPATIENT AND OUTPATIENT DISCHARGES AND VISITS. THE 2014 ESTIMATED POPULATION FOR THIS LOCAL AREA IS 715,437. THE ESTIMATED RACE BREAKDOWN OF THE POPULATION IS BELOW. WHITE NON-HISPANIC 530,452 75.04% BLACK NON-HISPANIC 70,592 9.99% ASIAN NON-HISPANIC 20,801 2.94% HISPANIC 77,508 10.96% ALL OTHERS 16,084 1.07% THERE ARE ELEVEN HOSPITALS IN NEBRASKA TO SERVE THE LOCAL COMMUNITY. METHODIST HOSPITAL, METHODIST WOMEN'S HOSPITAL, LAKESIDE HOSPITAL, BERGAN MERCY MEDICAL CENTER, MIDLANDS HOSPITAL, CREIGHTON MEDICAL CENTER, CHILDREN'S HOSPITAL, IMMANUEL HOSPITAL, NEBRASKA ORTHOPAEDIC HOSPITAL, BMC AND NMC. THERE ARE FOUR DESIGNATED MEDICALLY UNDERSERVED AREAS IN DOUGLAS COUNTY (THREE AREAS) AND SARPY COUNTY (ONE AREA.) Douglas County Median household income, (2009-2013) = $53,325 Persons below poverty level, percent (2009-2013) = 14.3% (76,867 based on 2013 population estimate) Sarpy County Median household income, (2009-2013) = $69,965 Persons below poverty level, percent (2009-2013) = 6.6% (11,187 based on 2013 population estimate) IN THE 2014 FISCAL YEAR, THERE WERE 14,183 MEDICAID CLAIMS IN THE LOCAL COMMUNITY AND 4,176 UNINSURED OR SELF PAY CLAIMS. OF THESE, NMC SERVED 30.8% OF THE MEDICAID CLAIMS AND 36.9% OF THE UNINSURED (OR SELF PAY). Schedule H, Part II and Part VI, Line 5 Community Building Activities and Promotion of Health NMC RECOGNIZES THE COMMUNITY BENEFIT OF ADDRESSING ROOT CAUSES OF POOR HEALTH IN ORDER TO IMPROVE COMMUNITY HEALTH. THE HOSPITAL PARTICIPATED IN SEVERAL COMMUNITY BUILDING ACTIVITIES THROUGHOUT THE PAST YEAR DESIGNED TO ADDRESS THESE ROOT CAUSES. INCLUDED IN THIS TOTAL ARE THE HOSPITAL'S EFFORTS TO SUPPORT THE MID-AMERICA HOSPITAL ALLIANCE (MAHA); A coalition OF RURAL AND CRITICAL ACCESS HOSPITALS IN THE REGION OF WHICH THE HOSPITAL IS A FOUNDING MEMBER. THE HOSPITAL SPENDS TIME COORDINATING RESOURCES TO ENSURE SMALLER, RURAL HOSPITALS CAN HAVE ACCESS TO THE EXPERTISE AND SERVICES OF A LARGE ACADEMIC MEDICAL CENTER to help address WORKFORCE SHORTAGES IN RURAL counties of america. THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE PROGRAMS INTENDED TO DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE. MANY HOSPITAL STAFF MEMBERS GIVE EDUCATIONAL PRESENTATIONS ON THE HEALTH PROFESSIONS TO AREA STUDENTS. NMC ALSO PROVIDES JOB SHADOWING OPPORTUNITIES TO UNDERGRADUATE STUDENTS WHO WISH TO EXPLORE THE HEALTH CAREERS. ADDITIONALLY, THE HOSPITAL HAS THE ONLY BIO-CONTAINMENT UNIT IN THE STATE and largest in the country, CONTRIBUTING TO DISASTER PREPAREDNESS ABOVE AND BEYOND LICENSURE REQUIREMENTS. In 2014, the biocontainment unit was activated to treat ebola patients at the request of the state department. MEMBERS OF THE HOSPITAL'S CRITICAL CARE AND TRAUMA STAFF SHARE THE EXPERTISE BY PARTICIPATING IN COMMUNITY COALITIONS TO IMPROVE SAFETY AND REDUCE ACCIDENTS AMONG CHILDREN, TEENS, AND SENIORS. BMC HAS PARTICIPATED IN, AND HOSTED A NUMBER OF EVENTS DESIGNED TO PROMOTE A HEALTHIER COMMUNITY. IN ADDITION TO FINANCIAL SUPPORT OF SEVERAL COMMUNITY-BASED CHARITABLE ORGANIZATIONS AND THE LOCAL CHAMBER OF COMMERCE, THE HOSPITAL'S LEADERSHIP TEAM IS ACTIVE ON COMMUNITY BOARDS. BMC ALSO HOSTS FREE MONTHLY "HEALTHY REVIEW" TALKS WHERE A PHYSICIAN GIVES AN EDUCATIONAL PRESENTATION ON VARIOUS DISEASES AND CONDITIONS. THESE INITIATIVES DEMONSTRATE BMC'S MISSION TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY BY PROVIDING A HEALING ENVIRONMENT FOCUSED ON QUALITY, COMPASSION, AND PERSONALIZED CARE ALONG WITH ITS ONGOING COMMITMENT TO CREATE A HEALTHIER COMMUNITY THROUGHOUT ITS SERVICE AREA. Other Information NMC IS A NONPROFIT HOSPITAL MEETING THE REQUIREMENTS OF REVENUE RULING 69-545. IN SUMMARY, THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS WITHOUT REGARD TO ABILITY TO PAY, THE HOSPITAL ALSO HAS A BOARD COMPRISED OF MEMBERS FROM THE COMMUNITY, THEY HAVE AN OPEN MEDICAL STAFF POLICY, THEY ACCEPT PATIENTS PAYING THEIR BILLS WITH MEDICAID AND MEDICARE, AND THEY USE THE SURPLUS OF THEIR FUNDS TO IMPROVE THEIR FACILITIES, EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION, AND RESEARCH. Schedule H, Part VI, Line 6 Neither NMC nor BMC are in an affiliated healthcare system. Schedule H, Part VI, Line 7 NMC files a community benefit report with the Nebraska Hospital Association annually. BMC is not required to file a community benefit report in any state, but voluntarily files an annual report with the Nebraska Hospital Association. true American Heart Association 10100 J Street Ste A Omaha NE 68127 135613797 501(C)(3) 10000 GENERAL SUPPORT Clarkson College 101 S 42nd Street Omaha NE 681312739 363649217 501(C)(3) 1370802 General Support GENERAL SUPPORT Clarkson Regional Health Sevices Inc 988145 NE MED CTR Omaha NE 681988145 470376531 501(C)(3) 6000000 General Support GENERAL SUPPORT First Sight 11126 O Street Omaha NE 68107 464448686 501(c)(3) 10000 General Support Friends of UNMC Cancer Center 985950 Nebraska Medical Center Omaha NE 68198 470809725 501(C)(3) 9500 General support for clinic operations serving unde GENERAL SUPPORT Greater Omaha Chamber Foundation 1301 Harney Street Omaha NE 68102 470258610 501(C)(3) 15070 General Support GENERAL SUPPORT Harbor House (Hospice House) 7415 Cedar Street Omaha NE 681242367 364003095 501(C)(3) 100000 General Support GENERAL SUPPORT Hope Medical Outreach Coalition 4920 S 30th Street Omaha NE 68107 470548990 501(C)(3) 23400 support GENERAL SUPPORT Intercultural Senior Center 2021 U Street Omaha NE 68107 272460810 501(C)(3) 6000 General Support GENERAL SUPPORT Joslyn Art Museum 2200 Dodge St Omaha NE 68102 470384577 501(C)(3) 51167 General Support GENERAL SUPPORT Latino Center of the Midlands 4821 South 24th St Omaha NE 68107 237208431 501(C)(3) 10000 General Support GENERAL SUPPORT Legal Aid of Nebraska 1904 Farnam St 5th Omaha NE 68102 470483506 501(C)(3) 75000 General support for lymphoma research and educatio GENERAL SUPPORT Leukemia and Lymphoma Society 12100 W Center Road Building 1 Su Omaha NE 68144 135644916 501(C)(3) 7500 General Support GENERAL SUPPORT Make a Wish 11926 Arbor St Ste 102 Omaha NE 68144 470671096 501(C)(3) 7500 General Support GENERAL SUPPORT Mid-America Council 12401 W Maple Rd Omaha NE 681641853 470376545 501(C)(3) 19900 General support of auxiliary's community efforts GENERAL SUPPORT Nebraska Medical Association 233 S 13 St 1200 Omaha NE 685082026 470372108 501(C)(3) 10000 General support of society's operations GENERAL SUPPORT Omaha Symphony 1605 Howard St Omaha NE 68102 476039304 501(C)(3) 25000 General support of museum operations GENERAL SUPPORT Ronald McDonald House 620 S 38th Street Omaha NE 681051104 470755104 501(C)(3) 10000 General support of association's operations GENERAL SUPPORT The Durham Western Heritage Museum 801 S 10th St Omaha NE 68108 470556061 501(C)(3) 50000 General operations and support GENERAL SUPPORT United Way of the Midlands 1805 Harney St Omaha NE 68102 470376605 501(C)(3) 6382 Faculty Support for the University GENERAL SUPPORT University of Nebraska Medical Center 986800 Nebraska Medical Center Omaha NE 681986800 470049123 GOVT 30572403 General support (AAA agreement) SUPPORT OPERATIONS UNMC Physicians 988101 Nebraska Medical Center Omaha NE 681988101 470785575 501(C)(3) 27068011 General support SUPPORT OPERATIONS Wellness Council of the Midlands 12565 W Center Rd Ste 220 Omaha NE 68144 470642708 501(C)(3) 10000 General support GENERAL SUPPORT BOARD OF REGENTS OF THE UNIV OF NE 3835 HOLDREGE STREET LINCOLN NE 68583 470049123 GOVT 6000000 General support 24 Financial Assistance (Charity Care) 5663 45943067 BOOK CHARITY CARE Financial Assistance (Pharmaceuticals) 1120 135250 BOOK EMERG DRUG FUND REVIEW AND APPROVAL OF CHARITABLE CONTRIBUTIONS SchEDULE I, Part I, LINE 1 THE NEBRASKA MEDICAL CENTER (NMC) HAS A COMMITTEE WHOSE RESPONSIBILITY IS TO REVIEW AND APPROVE OR DISPROVE REQUESTS FOR SPONSORSHIP. THIS COMMITTEE IS COMPRISED OF KEY EXECUTIVES AND OTHER MEMBERS OF THE LEADERSHIP TEAM, AS WELL AS REPRESENTATIVES FROM THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. DECISIONS ARE MADE ON EACH REQUEST INDIVIDUALLY BASED ON A SET OF GUIDELINES ESTABLISHED BY THE ORGANIZATION. IN ORDER TO EFFECTIVELY EVALUATE AND REVIEW THE MANY REQUESTS WE RECEIVE, EACH REQUEST IS BROUGHT BEFORE OUR SPONSORSHIPS AND CHARITABLE CONTRIBUTIONS COMMITTEE FOR CONSIDERATION. THIS COMMITTEE IS COMPRISED OF KEY EXECUTIVES AND OTHER MEMBERS OF THE HOSPITAL LEADERSHIP TEAM. THE COMMITTEE CONSIDERS EACH REQUEST INDIVIDUALLY, AND CONTRIBUTIONS ARE MADE BASED ON THREE PRIMARY OBJECTIVES: 1) TO SUPPORT THE COMMUNITY NEED FOR RESOURCES ADDRESSING NEBRASKA'S LEADING CAUSES OF DEATH; INCLUDING CANCER, STROKE AND HEART DISEASE. 2) TO ALIGN WITH ORGANIZATIONS FURTHERING NMC'S CHARITABLE MISSION TO SUPPORT CAUSES WHICH SIGNIFICANTLY IMPACT THE OVERALL HEALTH STATUS OF THE COMMUNITY. 3) TO SUPPORT ORGANIZATIONS WHICH IMPACT FAVORABLY THE PUBLIC IMAGE OF THE HOSPITAL AND ENHANCE EXISTING PARTNERSHIPS OR INITIATIVES. IF A SPONSORSHIP OR CHARITABLE CONTRIBUTION REQUEST FALLS WITHIN OUR THREE PRIMARY OBJECTIVES, THE FOLLOWING CRITERIA ARE THEN APPLIED TO FURTHER ASSIST THE COMMITTEE IN MAKING FUNDING DECISIONS: 1)ORGANIZATION MUST PROVIDE PROOF OF 501(C)(3) STATUS FROM THE IRS, OR NONPROFIT DESIGNATION AS A GOVERNMENTAL OR TRIBAL ENTITY. 2) ALL REQUESTS MUST BE RECEIVED IN WRITING- NO PHONE REQUESTS WILL BE CONSIDERED. 3) REQUESTOR MUST BE ABLE TO PROVIDE THE ORGANIZATION'S NON-DISCRIMINATION POLICY. 4) MUST BE ABLE TO PROVIDE AN ORGANIZATIONAL OPERATING BUDGET AND PROJECT BUDGET UPON REQUEST. 5) PROPOSAL MUST INCLUDE A LIST OF BOARD MEMBERS, DIRECTORS, AND KEY PROJECT STAFF MEMBERS AND THE ROLE THEY SERVE IN THE ORGANIZATION. 6) REQUEST MUST INCLUDE A BRIEF NARRATIVE OF THE PROJECT, INCLUDING AN ESTIMATE OF NUMBERS OF PEOPLE SERVED BY THE REQUEST AND LOCATION OF COMMUNITIES IMPACTED BY THE ORGANIZATION'S MISSION. 7) REQUESTS FOR SPONSORSHIP NEED TO BE SUBMITTED AT LEAST 90 DAYS PRIOR TO THE EVENT, WITH REQUESTS OVER $10,000 BEING SUBMITTED BY MARCH 1 FOR CONSIDERATION IN THE NEXT FISCAL YEAR. GROUPS, PROGRAMS, AND ACTIVITIES NOT SUPPORTED BY NMC: 1) ORGANIZATIONS WITHOUT IRS 501(C)(3) OR EQUIVALENT TAX EXEMPT STATUS. 2) ORGANIZATIONS THAT DISCRIMINATE ON THE BASIS OF AGE, DISABILITY, RELIGION, ETHNIC ORIGIN, GENDER, OR SEXUAL ORIENTATION. 3) ORGANIZATIONS WITH DIVISIVE OR LITIGIOUS PUBLIC AGENDAS. 4) MEMBER BASED ORGANIZATIONS, INCLUDING CHAMBERS OF COMMERCE, ROTARY CLUBS OR IRS 501(C)(4) LEGIONS AND ASSOCIATIONS. 5) MUNICIPALITIES, INCLUDING FIRE AND POLICE DEPARTMENTS OR RELATED SOCIAL SERVICE GROUPS AND POLITICAL ORGANIZATIONS. 6) RELIGIOUS ORGANIZATIONS OR SECTARIAN PROGRAMS FOR RELIGIOUS PURPOSES. 7) FRATERNAL ORGANIZATIONS, SOCIAL CLUBS, SPORTS TEAMS OR CLUBS, ATHLETIC COMPETITIONS. 8) ENDOWMENTS. 9) MULTIYEAR REQUESTS AND PLEDGES. 10) INDIVIDUALS REQUESTING LOANS, DEBT RETIREMENTS, SCHOLARSHIP OR FELLOWSHIP ASSISTANCE. 11) TRAVEL- INCLUDING STUDENT TRIPS OR TOURS. 12) MARKETING ACTIVITIES OR PROMOTIONAL MERCHANDISE. 13) PURCHASE OR MAINTENANCE OF VEHICLES. 14) FILM OR VIDEO PROJECTS, INCLUDING DOCUMENTARIES. 15) BEAUTY PAGEANTS GRANT MONITORING PROCEDURES SchEDULE I, Part I, Line 2 BASED ON THE DETAILED GIFT POLICY OUTLINED IN PART I, LINE 1, THE FUNDS ARE ONLY PROVIDED FOR CHARITABLE PURPOSES, AND THOSE ORGANIZATIONS THAT RECEIVE MONIES FROM NMC ARE REQUIRED TO FOLLOW THEIR 501(C)(3) REQUIREMENTS SURROUNDING THE USE OF FUNDS RECEIVED. X true true X X X X X X true true false true false true false false false Dr Marlin G Stahl MEMBER & BMC CMO 213404 0 0 0 856 0 236 0 305 0 214801 0 0 0 Glenn Fosdick CEO thru 12/13/2013 668135 0 300000 0 789119 0 158593 0 21615 0 1937462 0 749383 0 Stephen B Smith CMO thru 3/31/2014 341099 0 340026 0 161090 0 124066 0 15164 0 981445 0 130021 0 William S Dinsmoor CFO thru 1/5/2014 & CEO 423619 0 210000 0 144480 0 138057 0 8560 0 924716 0 139271 0 Joe B Graham COO 396482 0 170000 0 336139 0 124415 0 24943 0 1051979 0 329652 0 Rosanna D Morris CNO & COO effective 1/6/2014 220333 0 241050 0 107194 0 97230 0 912 0 666719 0 101050 0 Tadd M Pullin VP Marketing and Planning 332987 0 120000 0 6213 0 11776 0 14874 0 485850 0 0 0 Ruta P Davidson COO BMC 142552 0 97112 0 1695 0 17486 0 26186 0 285031 0 0 0 Louis W Burgher MD Clarkson College President 320829 0 0 0 0 0 0 0 13635 0 334464 0 0 0 Theresa Franco Exec Dir Oncology 251395 0 27484 0 20327 0 24022 0 22137 0 345365 0 0 0 Jorge A Parodi Exec Dir CP thru 3/31/2014 243581 0 0 0 21802 0 20649 0 14035 0 300067 0 0 0 Stephanie Daubert CFO effective 1/6/2014 182868 0 0 0 8438 0 22381 0 22118 0 235805 0 0 0 Thomas C Macy Nebraska Orthopaedic Hosp CEO 244340 0 0 0 1059 0 22783 0 25626 0 293808 0 0 0 Deborah K Istas Exec Dir Neuro 233096 0 17559 0 1588 0 25201 0 2121 0 279565 0 0 0 David S Fuller Interim, Chief Process Officer 194277 0 20000 0 27082 0 23448 0 26186 0 290993 0 0 0 Levi Scheppers CAO effective 1/6/2014 185076 0 0 0 649 0 12280 0 14334 0 212339 0 0 0 Charles D Lakso Exec Dir Diagnostic Services 229131 0 0 0 1572 0 17292 0 7465 0 255460 0 0 0 Randall J Hallett Exec Dir Devel thru 12/31/13 236613 0 61115 0 13568 0 17952 0 19359 0 348607 0 0 0 Michael F Powell Exec Dir Pharmacy Services 194614 0 3000 0 6448 0 23207 0 23950 0 251219 0 0 0 Lisa J McClane Exec Dir Women & Children 196923 0 0 0 1367 0 12711 0 4403 0 215404 0 0 0 Carissa SchweitzerMasek Exec Dir Enterprise Apps 180416 0 0 0 17442 0 17924 0 8494 0 224276 0 0 0 Donald Futrell Exec Dir Fac & Clin Spc plng 198203 0 0 0 1391 0 18452 0 19174 0 237220 0 0 0 Mark W Weiss Exec Dir Enterprise Tech Serv 191984 0 0 0 832 0 846 0 23806 0 217468 0 0 0 Jana Danielson Exec Dir Revenue Cycle 177587 0 0 0 17380 0 15426 0 1323 0 211716 0 0 0 Connie S Ogden Exec Dir Acute Adult Services 186051 0 0 0 1260 0 16930 0 2252 0 206493 0 0 0 Julie Lazure Exec Dir Acute Care Program 173664 0 0 0 1230 0 19592 0 17380 0 211866 0 0 0 Mandy Constantine Exec Dir Telehealth 186130 0 0 0 1064 0 0 0 7005 0 194199 0 0 0 Crista Madsen Exec Dir Mktg & Communications 153457 0 0 0 1084 0 12004 0 14888 0 181433 0 0 0 Marcel Devetten MD Associate CMO thru 12/31/2014 276818 0 0 0 1925 0 17871 0 14676 0 311290 0 0 0 Cynthia D Owen Quality & Compliance Advisor 118896 0 0 0 225999 0 41353 0 5 0 386253 0 0 0 Steven J Wees MD Physician 197600 0 46198 0 1342 0 15317 0 19626 0 280083 0 0 0 Chad Whyte Physician 218461 0 2000 0 1525 0 15933 0 22864 0 260783 0 0 0 Richard Hurd Physician 161366 0 6000 0 55991 0 17363 0 5762 0 246482 0 0 0 NONQUALIFIED RETIREMENT PLANS SchEDULE J, Part I, Line 4b CERTAIN EXECUTIVES DO PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. A PAYOUT OCCURRED DURING THE YEAR FROM A SUPPLEMENTAL NONQUALIFIED PLAN TO THE FOLLOWING INDIVIDUALS: GLENN FOSDICK $749,383 WILLIAM DINSMOOR $139,271 STEPHEN SMITH $130,021 JOE GRAHAM $329,652 ROSANNA MORRIS $101,050 CONTINGENT COMPENSATION SchEDULE J, Part I, Line 5a & 6a THE ORGANIZATION'S REVENUES AND NET EARNINGS ARE TAKEN INTO CONSIDERATION WHEN CALCULATING EXECUTIVE INCENTIVE COMPENSATION IN ADDITION TO OTHER NON-FINANCIAL FACTORS. EXECUTIVE INCENTIVE COMPENSATION IS DETERMINED BY SEVERAL KEY METRICS THAT ARE ESTABLISHED BY THE NEBRASKA MEDICAL CENTER BOARD OF DIRECTORS. THESE METRICS ARE INCLUSIVE OF STRATEGIC, FINANCIAL, OPERATIONAL AND QUALITY OUTCOMES. ON AN ANNUAL BASIS, THE NEBRASKA MEDICAL CENTER BOARD OF DIRECTORS REVIEWS ACHIEVEMENT OF PRESET TARGETS AND APPROVES INCENTIVES WHEN WARRANTED. THESE PERFORMANCE PAYMENTS ARE IN LIEU OF A TYPICAL EXECUTIVE'S BASE PAY. THE BOARD OF DIRECTORS AND EXECUTIVES DETERMINED IT IS IN THE BEST INTEREST OF THE ORGANIZATION TO HAVE A PORTION OF THEIR BASE PAY SUBJECT TO FORFEITURE UNLESS THE PRE-DETERMINED FINANCIAL AND NON-FINANCIAL FACTORS DISCUSSED ABOVE ARE ACHIEVED. INCENTIVE COMPENSATION RELATED TO FY13 PERFORMANCE WERE PAID TO THE FOLLOWING INDIVIDUALS: GLENN FOSDICK $300,000 STEPHEN SMITH, MD $340,026 JOE GRAHAM $170,000 WILLIAM DINSMOOR $210,000 ROSANNA MORRIS $241,050 TADD PULLIN $120,000 RANDALL HALLET $61,115 THERESA FRANCO $27,484 DEB ISTAS $17,559 RUTA DAVIDSON $97,112 DAVID FULLER $20,000 SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A THE FOLLOWING EMPLOYEES WERE TERMINATED DURING FISCAL YEAR 2014 AND RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2013: CINDY D. OWEN $225,913 A HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE 521440769 259230HT0 2003-12-10 41792267 REFUND BOND ISSUE (8/22/1991) false false false B HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE 521440769 000000000 2014-05-01 51000000 REFUND BOND ISSUE false false false A 28085000 0 41762254 4171292 0 0 834246 0 0 3768 36879309 0 1994 true false true true B 0 0 51000000 0 0 0 0 0 0 1061084 49665668 273248 2014 true false true true A 0 B false false true true true true 0.00500 0.00500 false false false true A false false true true false false 0 false 0 false true B false true true true First National Bank 10. false false false 0 false true A true B true REbate Computation Part IV, Line 2c, Column A Date the rebate computation was performed was November 30, 2013. Private Business Use Bond Issue - Private Business Use Schedule K, Part III, Column A Per the instructions, this part is not to be completed for post-december 31, 2002 Bond Issues which refund a Pre-January 2003 Issue. Bond Issue - Proceeds Part II, Line 3, Column A The total proceeds do not equal the summation of lines 4-12 due to transferred or replacement proceeds in line 4. Bond Issue - Reserve Schedule K, Part II, Line 4, Column A The reserve amount is higher than the required reserve due to appreciation of the investment at 6/30/2014. BRUCE LAURITZEN PRESIDENT 1ST NATL BANK 195937 SUPPLIES, SERVICES, LEASE false BRUCE GREWCOCK KIEWIT CONSTRUCTION, PRES 3274625 CONSTRUCTION SERVICES false CANEDY PULLIN FOSDICK DINSMOOR SIMPLYWELL BOARD MEMBERS 425896 SERVICES, SUPPLIES, RENTAL false SMITH CANEDY DINSMOOR PULLIN MA NOH LLC BOARD MEMBERS 1953966 SERVICES AND SUPPLIES false WILLIAM DINSMOOR WIFE IS EMPLOYEE 199969 EMPLOYMENT false WILLIAM DINSMOOR BROTHER IS EMPLOYEE 30108 EMPLOYMENT false LOUIS BURGHER MD DAUGHTER IS EMPLOYEE 63898 EMPLOYMENT false JOE B GRAHAM DAUGHTER IS EMPLOYEE 47204 EMPLOYMENT false DEB ISTAS SON IS EMPLOYEE 43794 EMPLOYMENT false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SchEDULE L, Part IV 1.) THE SERVICES THAT ARE PROVIDED BY FIRST NATIONAL BANK OF OMAHA CONSIST OF PURCHASED SUPPLIES AND SERVICES. 2.) THE SERVICES THAT ARE PROVIDED BY KIEWIT CONSTRUCTION CONSIST OF FEES EARNED ON CONSTRUCTION CONTRACTS FOR PROJECTS THROUGHOUT THE CAMPUS. 3.) THE TRANSACTIONS WITH SIMPLYWELL CONSISTS OF RENTAL INCOME TO NMC FOR THE LEASE OF SPACE AND OTHER INCOME FOR SALE OF SERVICES AND SUPPLIES, SUCH AS PARKING, SUPPLY CHAIN AND PHONE SERVICES. APPROXIMATELY 80% OF THE TOTAL TRANSACTION RELATES TO PAYMENTS TO SIMPLYWELL FOR THE WELLNESS PROGRAM FOR NMC EMPLOYEES. 4.) THE SERVICES PROVIDED TO/FROM NOH LLC ARE COMPRISED OF RENT, SUPPLIES AND SERVICES. Members Form 990, Part VI, Line 6 The corporation has two members, The Board of Regents of the University of Nebraska ("Board of Regents") and Clarkson Regional Health Services, Inc. ("CRHS") Governing Body Appointment Form 990, Part VI, Line 7a and 7b BOARD OF REGENTS AND CRHS EACH APPOINT SIX MEMBERS TO THE BOARD OF DIRECTORS. BOARD OF REGENTS AND CRHS ARE REQUIRED TO APPROVE THE FOLLOWING DECISIONS MADE BY THE NEBRASKA MEDICAL CENTER BOARD OF DIRECTORS: A)AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION & BYLAWS B)AMENDMENTS TO, OR DECLARATIONS OF DEFAULT UNDER, THE JOINT OPERATING AGREEMENT ("JOA") C)MERGER, LIQUIDATION OR DISSOLUTION OF THE CORPORATION D)RETENTION OF RESPECTIVE OWNERSHIP OF ALL PROPERTY, PLANT AND EQUIPMENT, SUBJECT TO THE TERMS OF THE LEASE OR MANAGEMENT AGREEMENT WITH THE CORPORATION SET FORTH IN THE JOA E)DISPOSITION OF DEFINED MEMBER ASSETS VALUED IN EXCESS OF A STATED AMOUNT F)ADDITIONAL CAPITAL INVESTMENTS IN THE CORPORATION NOT SET FORTH IN THE JOA G)CAPITAL EXPENDITURES BY THE MEMBERS FOR DEFINED PROJECTS RELATING TO THE CORPORATION IN EXCESS OF A STATED AMOUNT H)DEBT ISSUANCE FOR DEFINED PROJECTS UNRELATED TO THE CORPORATION I)ADMISSION OF ADDITIONAL PARTICIPANTS IN THE CORPORATION IF SUCH ADMISSION IS BEYOND THE POWERS DELEGATED Review of 990 Prior to Filing Form 990, Part VI, Line 11B A copy of the Form 990 was presented to the Audit Committee of the Board of Directors. In addition, the Board of Directors were provided a copy of the Form 990 to review on the secured Board portal called "Board Effect" before it was filed. Monitoring and Enforcement of Board Independence Form 990, Part VI, Line 12c Each member of the Board of Directors, Officers and Key Employees discloses annually that he/she is either an Officer, Director, Member, Owner, Agent or associated in some manner with delineated business entities that either have or might reasonably be expected to have a business relationship with NMC. Each Board Member agrees to make conflicts known and withdraw from participation in deliberations if a subsequent conflict arises. Disclosure statements are distributed annually and monitored by the corporate compliance officer for completion. Any disclosed conflicts are brought to the attention of the Chairman of the Board for Board Members and Officers or to the Officers for Key Employees. Compensation of Officers, Directors and Key Employees Form 990, Part VI, Line 15a & 15b Senior Executive compensation is governed through the by-laws for NMC. In accordance with provisions set forth in the by-laws for NMC, an Executive Compensation Committee is appointed by the Board of Directors. The Board of Directors engages a third party consultant to provide comparable data for review of executive salaries, assess the overall compensation and benefit package and provide advice to the Executive Compensation Committee on compensation and regulatory matters. The Committee reviews the data and recommendations provided by the consultant which is based on competitive assessments with peer organizations and national trends. The following is a brief summary of the consultant's work: Fact Finding: Collect pertinent information about NMC and its executive total compensation programs (salaries, incentive award levels, benefits and prerequisites). Analysis of Total Compensation: Using NMC's existing compensation philosophy as the basis of the study, analyze all elements of the Executive Compensation Program, both individually and in aggregate. Using a proprietary database and published surveys, compare NMC compensation and benefit program and practices to those in its national peer group of organizations similar in size and complexity. Present a Written Report to the Compensation Committee which summarizes: 1)Best practices and regulatory requirements for governing executive pay 2)Competitive analysis of the cash compensation program 3)Competitive analysis of the levels and provisions of the benefit program 4)Opportunities for strengthening the program 5)Recommendations, as appropriate Governing Documents, Conflict of Interest Policy, Financial Statements Form 990, Part VI, Line 19 The governing documents, conflict of interest policy and financial statements are typically not made available to the public. However, if someone comes into the Accounting Department and requests to view the documents, they would be made available to view in the office. Business and Family Relationships Form 990, Part VI, Line 2 Mr. Bruce Grewcock and Mr. Mogens Bay have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Mr. Glenn Fosdick, Dr. James Canedy and Mr. Tadd Pullin have a business relationship (through board of directors relationship). Dr. Marlin Stahl and Dr. James Canedy have a business relationship (through board of directors relationship). Mr. Joe Graham, Mr. William Dinsmoor, Dr. Marlin Stahl, Ms. Ruta Davidson, and Mr. Charles Lakso have a business relationship (through Board of Directors relationship). MR. GLENN FOSDICK, MR. WILLIAM DINSMOOR, MR. JOE GRAHAM, DR. STEPHEN SMITH, AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP). Mr. William Dinsmoor, Dr. James Canedy, Mr. Thomas Macy, Mr. Joe Graham, Dr. Stephen Smith, Dr. Marlin Stahl, MR. LEVI SCHEPPERS, AND MS. STEPHANIE DAUBERT have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Dr. James Canedy, AND MS. ROSANNA MORRIS have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Mr. Tadd Pullin, Mr. Tom Macy, Dr. Stephen Smith, AND MR. LEVI SCHEPPERS have a business relationship (through board of directors relationship). MR. MOGENS BAY AND MR. J.B. MILLIKEN HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP). OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D Neuroology Service Line The core services include precise diagnosis and treatment of stroke and vascular disease, movement and memory disorders, multiple sclerosis brain and spinal tumors, spine as well as epilepsy. The Epilepsy Center is the only level 4 center in the region and treats patients from the state of Nebraska and the region. The Corporation has one of few magnetoencephalograph (MEG) scanners and trained MEG scientists in the region. The MEG can detect brain activity in much greater detail and with more accuracy than previous methods and will advance patient care and research opportunities greatly. The Corporation has earned the American Heart Association/American Stroke Association's Get With The Guidelines Stroke Gold plus Achievement Award. Get With The Guidelines is a hospital-based, quality-improvement program designed to ensure hospitals consistently care for cardiac and stroke patients following the most up-to-date guidelines and recommendations. The Corporation also hosts the only young adult stroke support group to address the emotion and physical challenges of recovering from stroke. In addition, U.S. News and World Report surveyed the nation's roughly 5,000 hospitals to come up with this year's list of Best Hospitals. Fewer than 150 of those hospitals are nationally ranked. Of the 16 specialties studied by U.S. News and World Report, The Nebraska Medical Center was recognized in 9, including Neurology and Neurosurgery. During fiscal year 2014, Neurosciences incurred over 2,756 inpatients with over 13,913 patient days and over 16,313 outpatient billing units Approximately 71% of the revenue was derived from inpatient cases All Other Hospital Services With a history dating back to 1869, The Nebraska Medical Center was formed with the merging of Bishop Clarkson Memorial Hospital and University Hospital and continues to attract patients from the region and around the world. The Nebraska Medical Center is a tertiary/quaternary academic medical center. The Corporation is the largest health care facility in the state with more than 5,000 employees and over 900 physicians on staff practicing in all major specialties and sub-specialties. Besides several key services in cardiology, oncology, transplant and neurology, the hospital offers comprehensive care in women's services for obstetrics and gynecology, as well as pediatric services, orthopedics, rheumatology, and pulmonary care. In addition, the Corporation has one of the region's largest hyperbaric medicine programs. The medical center also has one of the few biocontainment units in the United States equipped to safely care for those exposed to highly contagious, dangerous diseases. Its diabetes center is a recognized education program by the American Diabetes Association and has earned the Joint Commission's gold Seal of Approval for Advanced Inpatient Diabetes Care. In partnership with UNMC, The Nebraska Medical Center CONTINUED construction of the Fred & Pamela Buffett Cancer Center, the largest single project ever on campus. The project will be completed in 2016 and scheduled to open in early 2017. RECONCILIATION OF NET ASSETS 990, PART XI, LINE 9 Equity Changes in Subs. 776,344 Change in Pension Accts 12,582,491 Net Assets Released (575,252) Clarkson College Net Income (1,574,943) Investment in ACA 50,500 Chg in BMC inv (Redemption) (14,571,735) BMC Noncontrolling Int at 6/30/13 8,970,028 BMC Noncontrolling Int at 6/30/14 835,817 Total 6,493,250 Changes to Governing Documents FORM 990, PART VI, LINE 1A DURING THE FISCAL YEAR ENDED JUNE 30 2014, THE BOARD OF DIRECTORS OF THE NEBRASKA MEDICAL CENTER ADOPTED A RESOLUTION WHICH DELEGATED CERTAIN AUTHORITY OVER THE GOVERNANCE OF TNMC TO AN ADVISORY BOARD COMPRISED OF JEFFREY GOLD, MD, CHAIRMAN, 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. TNMC BOARD OF DIRECTORS RETAINED THE AUTHORITY TO MAKE ANY CHANGES TO THE JOINT OPERATING AGREEMENT, THE ACADEMIC AFFILIATION AGREEMENT, OR THE ARTICLES OF INCORPORATION OR BYLAWS OF TNMC. 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 UNMC PHYSICIANS TO FORM AN INTEGRATED CLINICAL ENTERPRISE. The following members overlap on the Advisory Board and Board of Directors for The Nebraska Medical Center: Mogens C. Bay Bruce Grewcock JEFFREY GOLD, MD Nancy Keegan James E. McClurg, PHD EFFECTIVE DURING FISCAL YEAR 2014, THE NEBRASKA MEDICAL CENTER EXECUTIVE DUTIES OF CEO WERE ASSIGNED TO WILLIAM DINSMOOR AND THE DUTIES OF PRESIDENT WERE ASSIGNED TO BRADLEY E. BRITIGAN, MD. Significant Programs Part III, Line 2 Effective 6/1/2014, Bellevue Medical Center LLC became a disregarded entity of The Nebraska Medical Center. 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