UNMC PHYSICIANS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNMC PHYSICIANS (EIN 47-0785575)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-14
IRS object ID
201430459349301873
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-14T13:23:50-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11212 NORTH 96TH STREET SUITE 300AddressLine1
CityOmahaCity
StateNEState
ZIP Code68114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470785575EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNMC PhysiciansBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MR TROY K WILHELMInCareOfName
Name ControlUNMCNameControl
Phone4025599789Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1988101 Nebraska Medical CenterAddressLine1
Address Line2SuiteAddressLine2
CityOmahaCity
StateNEState
ZIP Code681988101ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTroy K WilhelmName
TitleChief Financial OfficerTitle
Phone4025599789Phone
Date Signed2014-02-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMR TROY K WILHELMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1988101 NEBRASKA MEDICAL CENTERAddressLine1
CityOMAHACity
StateNEState
ZIP Code681988101ZIPCode
FieldValueIRS element (for citing)
Gross Receipts225502525GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UNMCPHYSICIANS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionSUPPORT THE MISSION OF UNIVERSITY OF NEBRASKA MEDICAL CENTER, IMPROVE HEALTH OF NEBRASKA THROUGH EDUCATION, RESEARCH, THE HIGHEST QUALITY PATIENT CARE, AND OUTREACH TO UNDERSERVED POPULATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1460TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI7893TotalGrossUBI
Net Unrelated Business Txbl Income2181NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year216358275ProgramServiceRevenuePriorYear
Program Service Revenue CY223222106ProgramServiceRevenueCY
Investment Income Prior Year384618InvestmentIncomePriorYear
Investment Income Current Year426118InvestmentIncomeCurrentYear
Other Revenue Prior Year1935711OtherRevenuePriorYear
Other Revenue Current Year1854301OtherRevenueCurrentYear
Total Revenue Prior Year218678604TotalRevenuePriorYear
Total Revenue Current Year225502525TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year46570240GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY44761077GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year128925952SalariesEtcPriorYear
Salaries Etc Current Year130264432SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44804318OtherExpensePriorYear
Other Expenses Current Year42736149OtherExpensesCurrentYear
Total Expenses Prior Year220300510TotalExpensesPriorYear
Total Expenses Current Year217761658TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1621906RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7740867RevenuesLessExpensesCY
Total Assets BOY126343283TotalAssetsBOY
Total Assets EOY144062786TotalAssetsEOY
Total Liabilities BOY37696797TotalLiabilitiesBOY
Total Liabilities EOY44161267TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY88646486NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY99901519NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSUPPORT 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense217076907Expense
Grants44761077Grants
Revenue225076407Revenue
DescriptionUNMC 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 2013, UNMC PHYSICIANS SERVED MORE THAN 368 THOUSAND PATIENTS IN ITS CLINICS AND OVER 240 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 26 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 33 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.COMDescription
Total Program Service Expense217076907TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109687NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1460NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMR TROY K WILHELMNamePerson
Telephone Number4025599789TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1988101 NEBRASKA MEDICAL CENTERAddressLine1
CityOMAHACity
StateNEState
ZIP Code681988101ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CHARLES A ENKE
DIRECTOR30.030.0X26728422347224778
KEVIN L GARVIN
DIRECTOR30.030.0X41367521485433284
CARL V SMITH
CHAIR/PRESIDENT30.030.0X30476323343226939X
CRAIG W WALKER
DIRECTOR30.030.0X33453823480538797
STEVEN WENGEL
DIRECTOR30.030.0X6579523128424960
Lynell Klassen
DIRECTOR30.030.0X8119326939527307
ROBERT MUELLEMAN
SECRETARY-TREASURER/DEPT CHAIR30.030.0X26879617481143660X
MICHAEL SITORIUS
VICE CHAIR/DEPARTMENT CHAIR30.030.0X6430823882728706X
JOHN SPARKS
DIRECTOR1.040.0X021676621734
DEBRA ROMBERGER
DIRECTOR30.030.0X1429445846895
THOMAS HEJKAL
DIRECTOR30.030.0X21905019557422351
STEVE HINRICHS
DIRECTOR30.030.0X22216921391738070
DAVID W MERCER
DIRECTOR30.030.0X47025021834139395
DANIEL MURMAN
DIRECTOR30.030.0X12179910016021998
MATTHEW MORMINO
DIRECTOR30.030.0X34268811453844404
Steven Lisco
Director30.030.0X20832415717726423
Dwight Jones
Director30.030.0X12107011304
Quan Nguyen
DIRECTOR40.00.0X000
Troy Plumb
DIRECTOR40.00.0X1640389089526083
Julie Vose
DIRECTOR40.00.0X21065315492517363
CORY D SHAW
EXEC VP/CEO30.010.021664816502521171X
TROY WILHELM
CFO30.010.0267112018819X
DENNIS BIERLE
COO30.010.0233705023632X
CARIN BORG
ADMINISTRATOR20.020.010626310533128583X
HAROLD MAURER
PHYSICIAN/CHANCELLOR10.040.010255848045432144X
LISA RUNCO
ADMINISTRATOR20.020.0928938980027118X
BRYAN SCHWAHN
ADMINISTRATOR20.020.01084927840833270X
DAVID MELLIGER
administrator20.020.0787768262825378X
ALAN LANGNAS
PHYSICIAN50.010.07878019788842106X
WILLIAM THORELL
PHYSICIAN50.010.05747048025344210X
PETER LENNARSON
PHYSICIAN50.010.05049857916045078X
WENDY JEAN WARD
PHYSICIAN50.010.06010157594844132X
Michael Moulton
PHYSICIAN50.010.043285510534079463X
Kenneth Follett
DIRECTOR30.030.036101118921843540X
Daniel Lydiatt
DIRECTOR30.030.0169939795166715X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8399509TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5157796TotalReportableCompFrmRltdOrgs
Total Other Compensation1039810TotalOtherCompensation
Number Individuals GT100 K290NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE NEBRASKA MEDICAL CENTER
988145 NEBRASKA MEDICAL CENTEROMAHANE681988145MEDICAL CALL CENTER321300
NEUROLOGY LLP
8901 W DODGE RD SUITE 210OMAHANE68114Physician Svcs.200000
APEX PRINT TECHNOLOGIES LLC
PO BOX 9201MINNEAPOLISMN554809201STMT PRINTING & MAIL171455
ADP
PO BOX 842875BOSTONMA022842875PAYROLL SERVICES176811
OPTUMINSIGHT
2771 MOMENTUM PLACECHICAGOIL60689CLAIMS MANAGER203984
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SVC REVENUE621400148941461148941461
OTHER CONTRACTUAL REVENUE9000997428064574280645
FieldValueIRS element (for citing)
Total Program Service Revenue223222106TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column426118TotalRevenueColumn
Unrelated Business Revenue7893UnrelatedBusinessRevenue
Exclusion$418,225ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDEPARTMENTAL MISC. DEPOSITSDescription
Business Code561000BusinessCode
Total Revenue Column1854301TotalRevenueColumn
Related Or Exempt Function Income1854301RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1854301TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column225502525TotalRevenueColumn
Related Or Exempt Function Income225076407RelatedOrExemptFunctionIncome
Unrelated Business Revenue7893UnrelatedBusinessRevenue
Exclusion$418,225ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total39357909Total
Program Services39357909ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total5403168Total
Program Services5403168ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4847613Total
Program Services4847613ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total102502815Total
Program Services102502815ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11029725Total
Program Services11029725ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7487942Total
Program Services7487942ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4396337Total
Program Services4396337ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total180253Total
Management And General180253ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total119966Total
Management And General119966ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total488129Total
Program Services488129ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total215547Total
Program Services215547ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3658737Total
Program Services3658737ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total133252Total
Program Services133252ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total100948Total
Program Services100948ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2250033Total
Program Services2250033ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2524384Total
Program Services2139852ProgramServices
Management And General384532ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DEAN & DEPT DEVELOPMENT FUND97580509758050
CONTRACTED PHYSICIAN SVC20763302076330
PROVISION FOR BAD DEBT EXPENSE80973518097351
MEDICAL SUPPLIES/EQUIPMENT44027594402759

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8730410Total
Program Services8730410ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total217761658Total
Program Services217076907ProgramServices
Management And General684751ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26343859BOY
EOY38686942EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY37262099BOY
EOY39868952EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY640586BOY
EOY653798EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY499381BOY
EOY722864EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis37033923LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18022332LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY20539683BOY
EOY19011591EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY37843306BOY
EOY40868443EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY1049651EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3214369BOY
EOY3200545EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY126343283BOY
EOY144062786EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23388728BOY
EOY26500011EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14308069BOY
EOY17661256EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37696797BOY
EOY44161267EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY88646486BOY
EOY99901519EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
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Schedule A IRS990ScheduleA

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Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

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Current Tax Year Minus2 Years345357CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total788217Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

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Current Tax Year Minus3 Years204777880CurrentTaxYearMinus3Years
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Current Tax Year225076407CurrentTaxYear
Total1053681680Total

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Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

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Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

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Total509 Total509

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Current Tax Year225076407CurrentTaxYear
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Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

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Amts From Subst Contributors AmtsFromSubstContributors

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Support From DQ Ps Etc SupportFromDQPsEtc

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Total171677476Total
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Gross Investment Income509 GrossInvestmentIncome509

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Post1975 UBTI Post1975UBTI

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Total2153528Total

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Total0Total

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Total Support Total TotalSupportTotal

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Current Tax Year Minus3 Years203880432CurrentTaxYearMinus3Years
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Current Tax Year Minus1 Year218678878CurrentTaxYearMinus1Year
Current Tax Year225504706CurrentTaxYear
Total1054879622Total
FieldValueIRS element (for citing)
Public Support Percentage5090.83687PublicSupportPercentage509
Prior Year Support Percentage0.86432PriorYearSupportPercentage
Investment Income Percentage0.00204InvestmentIncomePercentage
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Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationLOSS IN JOINT VENTURE IN 2009: (1,743,803)GeneralExplanation

Schedule D IRS990ScheduleD

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Buildings Buildings

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Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
FEES PAYABLE TO UNMC$12,870,614
RESERVE FOR SELF INSURANCE$4,040,642
EDUCATION BUILDING COMMITMENT$750,000
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Tot Revenue Etc Audited Fincl Stmt179409282TotRevenueEtcAuditedFinclStmt
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Revenue Not Rptd F9903514166RevenueNotRptdF990
Revenue Subtotal175895116RevenueSubtotal
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Revenue Not Rptd On Fin Stmt49607409RevenueNotRptdOnFinStmt
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Expenses Not Rptd On Fin Stmt49607409ExpensesNotRptdOnFinStmt
Total Expenses Per Form990217761658TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part XI, Line 4B8,097,351 Bad Debt Expense Reclass 5,403,168 CHARITY CARE RECLASS 36,106,890 TRANSFER TO UNMC ---------- 49,607,409
EXPLANATION TO THE ORGANIZATION'S FINANCIAL STATEMENTS (FIN 48)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 X, LINE 2
Part XII, Line 4B8,097,351 Bad Debt Expense Reclass 5,403,168 CHARITY CARE RECLASS 36,106,890 TRANSFER TO UNMC ---------- 49,607,409

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
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Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedSEE PART IVSpecificServicesProvided
Total Expenditures10671TotalExpenditures
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Subtotal Amount Spent10671SubtotalAmountSpent
Total Amount Spent10671TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
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Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierGENERAL INFORMATION ON ACTIVITIES OUTSIDE THE U.S.Identifier
Return ReferencePART I, LINE 3ReturnReference
ExplanationUNMC 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 $10,671 FOR THE MEDICAL RESIDENT HOUSING.Explanation

Schedule H IRS990ScheduleH

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Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

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Percent Of Total Expense0.01170PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
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Net Community Benefit Expense9421241NetCommunityBenefitExpense
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Unreimbursed Costs UnreimbursedCosts

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Direct Offsetting Revenue1630DirectOffsettingRevenue
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Total Charity Care TotalCharityCare

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Net Community Benefit Expense11992409NetCommunityBenefitExpense
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Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
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Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
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Subsidized Health Services SubsidizedHealthServices

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Cash And In Kind Contributions CashAndInKindContributions

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Total Other Benefits TotalOtherBenefits

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Total Community Benefits TotalCommunityBenefits

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FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,423,184BadDebtExpenseAmount
Amount Attributable To1215932AmountAttributableTo
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Cost Of Care Reimbursed By Medicare58118087CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-32175647MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
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FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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Name Name

FieldValueIRS element (for citing)
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StateNEState
ZIP Code68123ZIPCode
FieldValueIRS element (for citing)
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Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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FieldValueIRS element (for citing)
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Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
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Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3CBELLEVUE 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. 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 6AThe UNMC Physicians community benefit report can be accessed at: www.unmcphysicians.com/v2/default.asp?id=13 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 7GThe 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 FThe amount used to calculate the table 7 percentages is $218,949,954. This amount is derived from part ix line 25 in the amount of $217,761,658, less bad debt of $8,097,351 for unmc physicians. Per the instructions, the proportionate share of total expenses of the Bellevue medical center joint venture of $9,974,405, less bad debt of $688,758 was added to the unmc physicians' amount.
PART I, LINE 7BOTH 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 4Patient 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. 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 8As 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 9BUNMC 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 twelve 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.
PART V, SECTION AUNMC 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, UNMC PHYSICIANS OWNS 13.646702% OF BELLEVUE MEDICAL CENTER, LLC, WHICH IS A HOSPITAL. THEREFORE, per the instructions, SCHEDULE H INCLUDES ALL CLINICAL ACTIVITIES OF UNMC PHYSICIANS, PLUS 13.646702% OF HOSPITAL ACTIVITY OF BELLEVUE MEDICAL CENTER, LLC.
NEEDS ASSESSMENTUNMC 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. 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 was 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 ASSISTANCEUNMC 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 COUNSELORS work with our self pay population to pursue coverage through state, federal or local programs. BMC HAS OBTAINED CERTIFICATION AS A CAC ORGANIZATION THROUGH CMS TO ASSIST WITH NEW MARKETPLACE COVERAGE.
COMMUNITY INFORMATIONOur 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 78.1% in this category. Black Non-Hispanic make up 12.2% of the population; 2.2% is Hispanic - White. The remaining 7.5% 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, 2013 was Medicare - 12%, Medicaid - 9%, Commercial Payors - 32%, Self-Pay - 40% and Other - 7%. 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 HEALTHThe 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 REPORTUnmc 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 SYSTEMUNMC 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 IIUNMC 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.
PART V, LINE 12HBMC 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, LINE 14GBMC 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 3Key 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 focused 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOC HEARTLAND AFFILIATION
10100 J STREET SUITE AOMAHANE68127135613797501(C)(3)10000FURTHER EXEMPT PURP.
UNIVERSITY OF NEBRASKA MEDICAL CENTER
986800 NE MED CTROMAHANE68198470049123GOVT36106890EDUC. SUPPORT
UNIVERSITY HOSPITAL AUXILIARY
987509 NE MED CTROMAHANE68198470591991501(C)(3)15000FURTHER EXEMPT PURP.
UNIVERSITY OF NEBRASKA FOUNDATION
8712 W DODGE RD STE 100OMAHANE68114470379839501(C)(3)229500FURTHER EXEMPT PURP.
BUILDING BRIGHT FUTURES
1004 FARNAM ST STE 102OMAHANE68102260436138501(C)(3)1396234FURTHER EXEMPT PURPOSE
THE NEB MEDICAL CENTER
988145 NEBRASKA MED CENTER OMAHAOMAHANE681988145911858433501(c)(3)1561102FURTHER EXEMPT PURPOSE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCHARITY CARETypeOfGrant
Number Of Recipients2771NumberOfRecipients
Amount Of Non Cash Assistance5403168AmountOfNonCashAssistance
Method Of ValuationBOOKMethodOfValuation
Description Of Non Cash AssistancePATIENT FIN'L ASSISTDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 2CHARITABLE 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 IIIUNMC PHYSICIANS HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgs
CHARLES A ENKE
DIRECTOR2619702234723800151462861849200273570241964
KEVIN L GARVIN
DIRECTOR3878602148542581515651171890444429326232487
CARL V SMITH
CHAIR/PRESIDENT29940121093253628637152940300831340025173422500
CRAIG W WALKER
DIRECTOR26903823480565500120271933407628346565261767
STEVEN WENGEL
DIRECTOR657952312840189240607265795256280
Lynell Klassen
DIRECTOR67138269395140550218430546481193296702
ROBERT MUELLEMAN
SECRETARY-TREASURER/DEPT CHAIR24179617481127000201141461008936288910198357
MICHAEL SITORIUS
VICE CHAIR/DEPARTMENT CHAIR39930238827243780197700900864308267605
CORY D SHAW
EXEC VP/CEO169162148033474864056134310368422070418214016992
TROY WILHELM
CFO233379033733132580556102859310
JOHN SPARKS
DIRECTOR019426601752604232023852422500
THOMAS HEJKAL
DIRECTOR1750001955744405011621598105208220212216763
STEVE HINRICHS
DIRECTOR19216921391730000150641757006822237233238309
DENNIS BIERLE
COO20251803118700002337050
ALAN LANGNAS
PHYSICIAN698172978888962931535795902612819336108459
CARIN BORG
ADMINISTRATOR862631053312000015667870804256121930118295
HAROLD MAURER
PHYSICIAN/CHANCELLOR10255848045402913603944102558513534
LISA RUNCO
ADMINISTRATOR928938980014593751705032107486102349
BRYAN SCHWAHN
ADMINISTRATOR108492784081871256220893612720492966
DAVID MELLIGER
administrator437768262835000132376973051689201394769
DAVID W MERCER
DIRECTOR41025021834160000224751430802732492725235381
WILLIAM THORELL
PHYSICIAN5039606375370744336036671039366083079086016500
DANIEL MURMAN
DIRECTOR761398316045660980482580396013160311237817000
MATTHEW MORMINO
DIRECTOR27687397538658152846396530628837115113047917000
PETER LENNARSON
PHYSICIAN393860791601111253347566670497253846090799
WENDY JEAN WARD
PHYSICIAN5325335894868482338636385046586348788699117000
Steven Lisco
Director175607141553327179594120330479621791817400615624
Troy Plumb
DIRECTOR116276908954776210306784107936174344106672
Julie Vose
DIRECTOR2106531324252338124810254421299116995022500
Michael Moulton
PHYSICIAN432855883406733083530378050018511747317000
Kenneth Follett
DIRECTOR361011189218190571574708736380068213701
Daniel Lydiatt
DIRECTOR1699397951606343037216993986231

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNANCE, MANAGEMENT, AND DISCLOSURE - CONFLICTS OF INTERESTPART VI, SECTION B, QUESTION 12CAll 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: 1.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.
POLICIES - COMPENSATIONPART VI, SECTION B, QUESTION 15A & 15BThe 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 2012, UNMC Physicians retained the services of an independent consultant to evaluate and make appropriate recommendations on executive compensation for fiscal year 2013.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREForm 990, Part VI, Line 19Governing documents, Conflict of Interest policy, and audited financial statements are available to the public upon request in the administration offices.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, LINE 11BThe Form 990 is initially reviewed in detail by the Finance and Audit committees of the Board of Directors, with executive management and independent tax specialists present to assist with the review. The Committees' 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 Committees.
IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONSPART VII, SECTION AUNIVERSITY OF NEBRASKA MEDICAL CENTER IS A PART OF THE UNIVERSITY OF NEBRASKA GOVERNED BY THE BOARD OF REGENTS.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, SECTION A, LINE 6The 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.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, SECTION A, LINE 7AFour director seats on the board of directors shall be filled by and elected by the full time members of the corporation.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, SECTION A, LINE 7BThe 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.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, SECTION A, LINE 2CARL V SMITH AND MICHAEL SITORIUS HAVE A BOARD RELATIONSHIP
REQUIRED SCHEDULESPART IV, LINE 12BUNMC PHYSICIANS IS A BLENDED COMPONENT UNIT OF THE UNIVERSITY OF NEBRASKA.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF NEBRASKA MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1986800 NEBRASKA MEDICAL CENTERAddressLine1
CityOMAHACity
StateNEState
ZIP Code68198ZIPCode
FieldValueIRS element (for citing)
EIN470049123EIN
Primary ActivitiesEDUCATIONPrimaryActivities
Legal Domicile StateNELegalDomicileState
Exempt Code SectionGOVTExemptCodeSection
Public Charity StatusN/APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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