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        <Description>Cardiovascular Service Line The Corporation provides a wide range of cardiology 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. This year, U.S. News and World Report recognized our Cardiovascular Program as a "high performing" program and ranked us 105th out of almost 1000 hospitals in the country. The hospital treats patients from the surrounding region and in the year ended June 30, 2012, approximately 350 open heart surgeries were performed, 24 heart transplants and 23 mechanical circulatory system devices implantations were performed. During fiscal year 2012, the Cardiovascular Service Line incurred over 3,100 inpatient discharges, 15,000 patient days and 38,000 out-patient services. Approximately 65% of the net revenue was derived from inpatient cases.</Description>
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        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>46061517</BOY>
        <EOY>45014387</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>209367333</BOY>
        <EOY>242689546</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>532051096</BOY>
        <EOY>543173579</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>8633836</BOY>
        <EOY>9692282</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>1078967</BOY>
        <EOY>1619027</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>541763899</BOY>
        <EOY>554484888</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>751131232</BOY>
        <EOY>797174434</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>26409784</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-13688795</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>61121</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>61121</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Schedule C, Part II-B, Line 1I</Identifier>
        <ReturnReference>Lobbying Expenses</ReturnReference>
        <Explanation>This amount consists of hospital lobbying dues paid through annual dues of the National and State Hospital Associations and amounts paid to Radcliffe &amp; Associates (Law Firm) for lobbying.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts>
        <AssetsInPartX>630351</AssetsInPartX>
      </HeldWorksOfArtAmts>
      <CollectUsedForPublicExhibition>X</CollectUsedForPublicExhibition>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <CurrentYear>
        <BeginningOfYearBalance>9728658</BeginningOfYearBalance>
        <Contributions>2441330</Contributions>
        <InvestmentEarningsOrLosses>111526</InvestmentEarningsOrLosses>
        <OtherExpenditures>956905</OtherExpenditures>
        <EndOfYearBalance>11324609</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>15906146</BeginningOfYearBalance>
        <Contributions>-3167621</Contributions>
        <InvestmentEarningsOrLosses>274128</InvestmentEarningsOrLosses>
        <OtherExpenditures>3283996</OtherExpenditures>
        <EndOfYearBalance>9728657</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>14503430</BeginningOfYearBalance>
        <Contributions>1477127</Contributions>
        <InvestmentEarningsOrLosses>356880</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>431291</OtherExpenditures>
        <EndOfYearBalance>15906146</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>14479431</BeginningOfYearBalance>
        <Contributions>1306796</Contributions>
        <InvestmentEarningsOrLosses>159785</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>1442582</OtherExpenditures>
        <EndOfYearBalance>14503430</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>0.14000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.86000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>12337152</OtherCostOrOtherBasis>
        <BookValue>12337152</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>170860549</OtherCostOrOtherBasis>
        <Depreciation>89324156</Depreciation>
        <BookValue>81536393</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>5464537</OtherCostOrOtherBasis>
        <Depreciation>2043714</Depreciation>
        <BookValue>3420823</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>633773841</OtherCostOrOtherBasis>
        <Depreciation>364702388</Depreciation>
        <BookValue>269071453</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4183927</OtherCostOrOtherBasis>
        <Depreciation>4111660</Depreciation>
        <BookValue>72267</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>366438088</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>OTHER LONG TERM LIABILITIES</Description>
        <Amount>10829138</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>18970975</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>EST. THIRD PARTY PAYOR SETTLEMENT</Description>
        <Amount>15214274</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>45014387</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Schedule D, Part III, Line 4</Identifier>
        <ReturnReference>Description of Art Collection</ReturnReference>
        <Explanation>The hospital displays its collection of art throughout the walls of the organization. It is a collection of images &amp; portraits taken of various cultures around the world &amp; portrays the hospital's culture of providing medical care to people of all cultures.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D, PART V, LINE 4</Identifier>
        <ReturnReference>ENDOWMENT FUNDS</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D, PART X</Identifier>
        <ReturnReference>FIN 48 FOOTNOTE</ReturnReference>
        <Explanation>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, 2012 OR 2011.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
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        <Region>North America</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Promote Medical Care</SpecificServicesProvided>
        <TotalExpenditures>878</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Sub-Saharan Africa</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
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      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>South Asia</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Promote Medical Care</SpecificServicesProvided>
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      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Middle East and North Africa</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Promote Medical Care</SpecificServicesProvided>
        <TotalExpenditures>19204</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>0</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>42716</SubtotalAmountSpent>
      <TotalAmountSpent>42716</TotalAmountSpent>
      <TransferToForeignCorp>false</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>false</OwnForeignCorp>
      <PassiveForeignInvestCo>false</PassiveForeignInvestCo>
      <ForeignPartnership>false</ForeignPartnership>
      <BoycottCountries>false</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>International Activities</Identifier>
        <ReturnReference>Schedule F, Part 1</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>true</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfIndividual>Bethany Ochsner</NameOfIndividual>
        <Activity>Grant Writing</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>248350</GrossReceipts>
        <AmountRetainedByContractor>30157</AmountRetainedByContractor>
        <NetToOrganization>218193</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>Cheryl Sacco</NameOfIndividual>
        <Activity>Grant Writing</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <AmountRetainedByContractor>6367</AmountRetainedByContractor>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfIndividual>Gobel Philanthropy Chad Gobel</NameOfIndividual>
        <Activity>Consultant</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <AmountRetainedByContractor>34218</AmountRetainedByContractor>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>248350</TotalGrossReceipts>
      <TotalRetainedByContractors>70742</TotalRetainedByContractors>
      <TotalNetToOrganization>218193</TotalNetToOrganization>
      <EventsInformation>
        <NameOfEvent1>Polo</NameOfEvent1>
        <GrossReceiptsEvent1>528596</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>483468</CharitableContributionsEvent1>
        <GrossRevenueEvent1>45128</GrossRevenueEvent1>
        <NonCashPrizesEvent1>2868</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>123987</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>32209</FoodAndBeverageEvent1>
        <EntertainmentEvent1>29608</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>43552</OtherDirectExpensesEvent1>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>528596</GrossReceiptsTotal>
        <CharitableContributionsTotal>483468</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>45128</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>2868</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>123987</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>32209</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>29608</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>43552</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>232224</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-187096</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
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      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>6395</PersonsServed>
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        <NetCommunityBenefitExpense>14673046</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01840</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>59280</PersonsServed>
        <TotalCommunityBenefitExpense>108135684</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>28760841</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03600</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <PersonsServed>1504</PersonsServed>
        <TotalCommunityBenefitExpense>2091297</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>754340</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00090</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <PersonsServed>67179</PersonsServed>
        <TotalCommunityBenefitExpense>124900027</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>80711800</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>44188227</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05530</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>14</NumberOfActivitiesOrPrograms>
        <PersonsServed>126261</PersonsServed>
        <TotalCommunityBenefitExpense>377327</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>377327</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <PersonsServed>633</PersonsServed>
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        <NetCommunityBenefitExpense>4617909</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00580</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>27759836</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>3793749</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00470</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
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        <TotalCommunityBenefitExpense>4450744</TotalCommunityBenefitExpense>
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      </Research>
      <CashAndInKindContributions>
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        <NetCommunityBenefitExpense>53863666</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06740</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>35</NumberOfActivitiesOrPrograms>
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        <TotalCommunityBenefitExpense>99092370</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>64899058</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08120</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>35</NumberOfActivitiesOrPrograms>
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      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
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      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
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        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>25000</NetCommunityBuildingExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>235144</TotalCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>203144</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>400</PersonsServed>
        <TotalCommunityBuildingExpense>393112</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>192000</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>201112</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <TotalCommunityBuildingExpense>0</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>0</NetCommunityBuildingExpense>
      </Other>
      <Total>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <PersonsServed>400</PersonsServed>
        <TotalCommunityBuildingExpense>653256</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>224000</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>429256</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>20215666</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>158862736</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>179966162</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-21103426</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>NEB ORTHO HOSPITAL</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>ORTHOPEDIC HOSPITAL</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.00000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.42440</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>BELLEVUE MEDICAL CTR</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Acute Care Hospital</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.67730</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.10630</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>The Nebraska Medical Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>987400 Nebraska Medical Center</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>681987400</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>Bellevue Medical Center LLC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2500 MEDICAL CENTER DRIVE</AddressLine1>
          <City>BELLEVUE</City>
          <State>NE</State>
          <ZIPCode>68123</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>The Nebraska Medical Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Bellevue Medical Center LLC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>9</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Nebraska Medical Center Radiology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2727 S 144th St Ste 120</AddressLine1>
            <City>Omaha</City>
            <State>NE</State>
            <ZIPCode>68144</ZIPCode>
          </Address>
          <FacilityType>Provider Based Radiology Department</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Nebraska Medical Center Laboratory</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2727 S 144th St Ste 160</AddressLine1>
            <City>Omaha</City>
            <State>NE</State>
            <ZIPCode>68144</ZIPCode>
          </Address>
          <FacilityType>Provider Based Laboratory Department</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NMC - Bellevue Pharmacy</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2510 Bellevue Medical Ctr Dr Ste</AddressLine1>
            <City>Bellevue</City>
            <State>NE</State>
            <ZIPCode>68123</ZIPCode>
          </Address>
          <FacilityType>Pharmacy</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Cancer Ctr at VillAge Point Med Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>111 N 175th Street</AddressLine1>
            <City>Omaha</City>
            <State>NE</State>
            <ZIPCode>68118</ZIPCode>
          </Address>
          <FacilityType>Oncology, Radiology, Pathology, Pharmacy , Treatment</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NMC - Bellevue Cancer Services</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2510 Bellevue Med Ctr Dr</AddressLine1>
            <City>Bellevue</City>
            <State>NE</State>
            <ZIPCode>68123</ZIPCode>
          </Address>
          <FacilityType>Infusion Services Oncology Clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NMC Cardiology Imaging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2727 S 144th St STE 290</AddressLine1>
            <City>Omaha</City>
            <State>NE</State>
            <ZIPCode>68144</ZIPCode>
          </Address>
          <FacilityType>Cardiology Imaging</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NMC Bellevue Cardiology Imaging</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2500 Bellevue Med Ctr Dr STE 250</AddressLine1>
            <City>Bellevue</City>
            <State>NE</State>
            <ZIPCode>68123</ZIPCode>
          </Address>
          <FacilityType>Cardiology Imaging</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NMC-Village Point Endoscopy Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>111 North 175th Street</AddressLine1>
            <City>Omaha</City>
            <State>NE</State>
            <ZIPCode>68118</ZIPCode>
          </Address>
          <FacilityType>Endoscopy Services</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NMC - Bellevue Cancer Services</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2500 Medical Center Drive Rms 224-2</AddressLine1>
            <City>Bellevue</City>
            <State>NE</State>
            <ZIPCode>68123</ZIPCode>
          </Address>
          <FacilityType>Infusion Services</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 3C</Identifier>
        <Explanation>Not applicable as the organization does follow FPG to determine eligibility for providing fee care to low income individuals.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 6A</Identifier>
        <Explanation>The Organization's community benefit report can be accessed at http://www.nebraskamed.com/newroom/community. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 7G</Identifier>
        <Explanation>Physician Clinics were included in the subsidized health services calculation resulting in additional net community benefit expense of $1,737,182.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 7, Column F</Identifier>
        <Explanation>The percent of charity care and certain other community benefits at cost as a percent of total expenses less bad debt is 13.65%. BAD DEBT EXPENSE OF $48,379,658 INCLUDED IN THE FUNCTIONAL EXPENSE TOTAL PART IX, LINE 25 IS NOT INCLUDED IN THE TOTAL OPERATING EXPENSE USED TO CALCULATE THE TABLE 7 PERCENTAGES. NMC OWNS APPROXIMATELY 67% OF BMC and that percentage of expenses is included in order to properly calculate the table 7 percentages. The denominator used to calculate the cost to charge ratio is $799,394,759.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I, Line 7</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III, Line 4</Identifier>
        <Explanation>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 fiscal year 2012 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III, Line 8</Identifier>
        <Explanation>Overall Medicare patients produce a negative 4% 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III, Line 9B</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V</Identifier>
        <Explanation>We do not have rehabilitation, free standing diagnostic facilities, or skilled nursing. Our ancillary services are designated as hospital-based and included on our license. BMC is majority owned by the Nebraska Medical Center (NMC). UNMC Physicians has a minority ownership. 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 own over 80% of BMC.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, Line 2</Identifier>
        <ReturnReference>Needs Assessment</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, Line 3</Identifier>
        <ReturnReference>Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, Line 4</Identifier>
        <ReturnReference>Community Information</ReturnReference>
        <Explanation>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 77% of our inpatient and outpatient discharges and visits. The 2012 estimated population for this local area is 692,221. The estimated race breakdown of the population is below. White Non-Hispanic 511,490 73.9% Black Non-Hispanic 66,512 9.6% Asian Non-Hispanic 18,173 2.6% Hispanic 75,581 10.9% All Others 20,465 3.0% 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.) The average household income was $52,929 in Douglas County with 70,658 (13.3%) below poverty and $69,018 average household income in Sarpy County with 9,951 (6.0%) below poverty levels. Statistics by county for the rest of the state can be obtained here: http://www.neded.org/files/research/stathand/ksect10.htm In the 2012 fiscal year, there were 12,914 Medicaid claims in the local community and 3,686 uninsured or self pay claims. Of these, NMC served 30.4% of the Medicaid claims and 39.0% of the uninsured (or self pay).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part II and Part VI, Line 5</Identifier>
        <ReturnReference>Community Building Activities and Promotion of Health</ReturnReference>
        <Explanation>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); an alliance 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. NMC provides Human Resource consulting services to help these smaller institutions address widespread health care workforce shortages in rural areas. 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 and provide mock interview training to area students. NMC also provides many 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, contributing to disaster preparedness above and beyond licensure requirements. 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. The hospital also encourages economic growth and development by supporting an economic development partnership aimed at the development of new business in the city's urban areas. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Other Information</Identifier>
        <Explanation>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. BMC is a hospital, however, it is not a tax exempt organization, and therefore this question is not applicable.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, Line 6</Identifier>
        <Explanation>Neither NMC nor BMC are in an affiliated healthcare system.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, Line 7</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part V</Identifier>
        <ReturnReference>Section B, Line 11h</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part V</Identifier>
        <ReturnReference>Section B, Line 13g</ReturnReference>
        <Explanation>Information on how to get financial assistance is posted on the website under Patient Friendly Billing which is located under the Patient &amp; Visitors section. There are departments listed with phone numbers to call for more information or to set up an appointment.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American Heart Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>10100 J Street Ste A</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68127</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>25300</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>March of Dimes</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>11840 Nicholas Street</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131846366</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7750</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Lutheran Family ServicesAt Ease</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>124 S 24th Street</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68102</ZIPCode>
        </AddressUS>
        <EINOfRecipient>237267972</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>24390</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Salvation Army</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3612 Cuming St</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68131</ZIPCode>
        </AddressUS>
        <EINOfRecipient>362167910</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>University of Nebraska Medical Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>986800 Ne Med Ctr</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>681986800</ZIPCode>
        </AddressUS>
        <EINOfRecipient>470049123</EINOfRecipient>
        <IRCSection>GOVT</IRCSection>
        <AmountOfCashGrant>29807915</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT OPERATIONS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Hope Medical Outreach Coalition</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4920 S 30th Street</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68107</ZIPCode>
        </AddressUS>
        <EINOfRecipient>470548990</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>27000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Project Harmony</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>7110 F Street</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68117</ZIPCode>
        </AddressUS>
        <EINOfRecipient>470789054</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>United Cerebral Palsy Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>920 S 107th Ave Ste 302</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68114</ZIPCode>
        </AddressUS>
        <EINOfRecipient>470534212</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>9100</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Greater Omaha Chamber Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1301 Harney Street</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68102</ZIPCode>
        </AddressUS>
        <EINOfRecipient>470633685</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Leukemia and Lymphoma Society</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>10832 Old Mill Rd Ste 2</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135644916</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
      </RecipientTable>
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          <City>Omaha</City>
          <State>NE</State>
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          <City>Omaha</City>
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        <EINOfRecipient>470556061</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <City>Omaha</City>
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        <IRCSection>501(C)(3)</IRCSection>
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          <State>NE</State>
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          <State>NE</State>
          <ZIPCode>681641853</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>Wellness Council of the Midlands</BusinessNameLine1>
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          <AddressLine1>12565 W Center Rd Ste 220</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68144</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5489</AmountOfCashGrant>
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          <BusinessNameLine1>University of Nebraska Foundation</BusinessNameLine1>
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          <AddressLine1>6901 Dodge Street</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68198</ZIPCode>
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        <EINOfRecipient>470379839</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>Fund #1105240, Sharing Clinic 2011&amp;2012</PurposeOfGrant>
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          <BusinessNameLine1>Legal Aid of Nebraska</BusinessNameLine1>
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          <AddressLine1>1904 Farnam St Ste 500</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68102</ZIPCode>
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        <EINOfRecipient>470483506</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>24964</AmountOfCashGrant>
        <PurposeOfGrant>PATIENTS LEGAL AID</PurposeOfGrant>
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          <BusinessNameLine1>Make a Wish</BusinessNameLine1>
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          <AddressLine1>11926 Arbor St Ste 102</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68144</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>Omaha Symphony</BusinessNameLine1>
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          <AddressLine1>1605 Howard St</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68102</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>Impact One Community Connection</BusinessNameLine1>
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          <AddressLine1>2415 Grant Street</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68111</ZIPCode>
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          <ZIPCode>68102</ZIPCode>
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        <AmountOfCashGrant>10175</AmountOfCashGrant>
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          <BusinessNameLine1>Clarkson Regional Health Services Inc</BusinessNameLine1>
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          <City>Omaha</City>
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          <ZIPCode>681988145</ZIPCode>
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          <City>Omaha</City>
          <State>NE</State>
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          <BusinessNameLine1>Charles Drew Health Center</BusinessNameLine1>
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          <AddressLine1>2915 Grant Street</AddressLine1>
          <City>Omaha</City>
          <State>NE</State>
          <ZIPCode>68111</ZIPCode>
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          <BusinessNameLine1>Omaha Children's Museum</BusinessNameLine1>
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          <City>Omaha</City>
          <State>NE</State>
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          <BusinessNameLine1>Campaign for Nebraska</BusinessNameLine1>
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          <City>Omaha</City>
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        <Identifier>SCHEDULE J, PART I, LINE 4B</Identifier>
        <ReturnReference>NONQUALIFIED RETIREMENT PLANS</ReturnReference>
        <Explanation>Certain executives do participate in supplemental nonqualified retirement plans. A payout occurred during the year from a supplemental nonqualified plan to the following individuals: William Dinsmoor $68,243 Stephen Smith, MD $93,147 Joe Graham $93,253 Rosanna Morris $89,846 Glenn Fosdick $146,090</Explanation>
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        <Identifier>SCHEDULE J, PART I, LINE 5 &amp; 6</Identifier>
        <ReturnReference>CONTINGENT COMPENSATION</ReturnReference>
        <Explanation>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 FY11 performance were paid to the following individuals: Glenn Fosdick $467,000 Stephen Smith, MD $278,000 Joe Graham $225,000 William Dinsmoor $231,000 Rosanna Morris $135,000 Tadd Pullin $ 47,537 Randall Hallett $ 58,765 Natale Ponticello $ 35,692 Theresa Franco $ 22,814 Jorge Parodi $ 22,247 Deborah Istas $ 22,524 Ruta Davidson $ 31,671 Marcel Devetten $ 9,006 Martin Carmody $ 12,161</Explanation>
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        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>10002474</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>10002474</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>41712290</TotalProceeds>
        <AmountInReserveFund>4171707</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>834246</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>3768</CapitalExpenditures>
        <OtherSpentProceeds>36829408</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>1994</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>10026478</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>10026478</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>10000115</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>10000115</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00500</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00500</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00500</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00500</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00500</PrcntgePrvtBusinessUseByOthers>
        <TotalPrivateBusinessUse>0.00500</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
      <Form990ScheduleKPartVI>
        <Identifier>OTHER SPENT PROCEEDS</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>PART II LINE 11, COLUMN B THIS IS THE ISSUE PRICE, LESS SALE PROCEEDS DEPOSITED IN THE RESERVE FUND (NET OF AMOUNT FROM THE PRIOR 1991 BONDS PRINCIPAL AND INTEREST OF 48,753.61 &amp; 77,607.08 ) AND USED TO PAY COSTS OF ISSUANCE AND INTEREST ON THE 2003 BONDS ($3,768 ROUNDING AMT).</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>BOND ISSUE - PRIVATE BUSINESS USE</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>SCH. K PART III PER THE INSTRUCTIONS, THIS PART IS NOT TO BE COMPLETED FOR POST-DECEMBER 21, 2002 BOND ISSUES WHICH REFUND A PRE- JANUARY 2003 ISSUE.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>Bond Issue - PROCEEDS</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>PART II, LINE 4, COLUMN B THE RESERVE AMOUNT IS HIGHER THAN THE REQUIRED RESERVE DUE TO APPRECIATION OF THE INVESTMENT AT 6/30/2012.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleKN1">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521440769</IssuerEIN>
        <CUSIPNumber>000000000</CUSIPNumber>
        <DateIssued>2011-12-01</DateIssued>
        <IssuePrice>27111201</IssuePrice>
        <DescriptionOfPurpose>Hosptial Facilities and EPIC</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521440769</IssuerEIN>
        <CUSIPNumber>000000000</CUSIPNumber>
        <DateIssued>2009-04-29</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>HOSPITAL FACILITIES &amp; EQUIPMENT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>27111201</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>27111201</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>10000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>10000000</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00500</PrcntgePrvtBusinessUseByOthers>
        <TotalPrivateBusinessUse>0.00500</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>true</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00500</PrcntgePrvtBusinessUseByOthers>
        <TotalPrivateBusinessUse>0.00500</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartVI>
        <Identifier>Bond Issue</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>PART II, COLUMN A, LINE 3 THIS AMOUNT REPRESENTS A DRAW DOWN OF FINANCING. ALL AMOUNTS DRAWN WERE SPENT ON THE PROJECT. PART II, COLUMN A, LINE 16 THIS AMOUNT REPRESENTS A DRAWDOWN OF FINANCING. THE FUNDS WERE SPENT, BUT IT IS NOT THE FINAL ALLOCATION OF FUNDS.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Bruce Lauritzen</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>PRESIDENT 1ST NATL BANK</Relationship>
        <AmountOfTransaction>27282717</AmountOfTransaction>
        <DescriptionOfTransaction>Supplies, Services, Lease</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Bruce Grewcock</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>President of Kiewit Const</Relationship>
        <AmountOfTransaction>13042986</AmountOfTransaction>
        <DescriptionOfTransaction>CONSTRUCTION SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Canedy Pullin Fosdick Dinsmoor</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Simplywell Board Members</Relationship>
        <AmountOfTransaction>581751</AmountOfTransaction>
        <DescriptionOfTransaction>Services, supplies, rental in</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SMITHCANEDYDINSMOOrPULLINMACY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>NOH LLC BOARD MEMBERS</Relationship>
        <AmountOfTransaction>1931329</AmountOfTransaction>
        <DescriptionOfTransaction>SERVICES and supplies</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>William Dinsmoor</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE IS EMPLOYEE</Relationship>
        <AmountOfTransaction>176488</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>William Dinsmoor</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BROTHER IS EMPLOYEE</Relationship>
        <AmountOfTransaction>28373</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Louis Burgher</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER IS EMPLOYEE</Relationship>
        <AmountOfTransaction>51806</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Joe Graham</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER IS EMPLOYEE</Relationship>
        <AmountOfTransaction>41585</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Deborah Istas</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Son IS EMPLOYEE</Relationship>
        <AmountOfTransaction>14992</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSCATIONS INVOLVING INTERESTED PERSONS</Identifier>
        <ReturnReference>PART IV</ReturnReference>
        <Explanation>1.) THE SERVICES THAT ARE PROVIDED BY FIRST NATIONAL BANK OF OMAHA CONSIST OF PURCHASED SUPPLIES AND SERVICES AND TAX EXEMPT FINANCING. THE FINANCING IS APPROXIMATELY 99% OF THE TOTAL AMOUNT OF THE TRANSACTION. 2.) THE SERVICES THAT ARE PROVIDED BY KIEWIT CONSTRUCTION CONSIST OF 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.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>1269523</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Market Value stock</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>true</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>PART I, LINE 32A</Identifier>
        <Explanation>TNMC USES FIRST NATIONAL BANK OF OMAHA FOR INVESTMENT SERVICES. PART OF THESE SERVICES IS TO SELL NONCASH CONTRIBUTIONS RECEIVED BY THE CORPORATION.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Members</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6</ReturnReference>
        <Explanation>The corporation has two members, The Board of Regents of the University of Nebraska ("Board of Regents") and Clarkson Regional Health Services, Inc. ("CRHS")</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing Body Appointment</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a and 7b</ReturnReference>
        <Explanation>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 &amp; 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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of 990 Prior to Filing</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11B</ReturnReference>
        <Explanation>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 990 with the Schedule B redacted from the tax form after it was filed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Monitoring and Enforcement of Board Independence</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Compensation of Officers, Directors and Key Employees</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a &amp; 15b</ReturnReference>
        <Explanation>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 AT LEAST ONCE EVERY THREE YEARS 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 COMPETITITVE 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 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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing Documents, Conflict of Interest Policy, Financial Statements</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Business and Family Relationships</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2</ReturnReference>
        <Explanation>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, and Dr. Stephen Smith have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Dr. James Canedy, Mr. Thomas Macy, Mr. Joe Graham, Dr. Stephen Smith, and Dr. Marlin Stahl have a business relationship (through board of directors relationship). Mr. William Dinsmoor and Dr. James Canedy have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Mr. Tadd Pullin, Mr. Tom Macy and Dr. Stephen Smith 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).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>Neurology 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. The Nebraska Medical Center is ranked in Neurology and Neurosurgery at #40. During fiscal year 2012, Neurology incurred over 19,000 cases and almost 13,000 patient days. Approximately 70% 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 Corporation is the largest health care facility in the state with more than 5,000 employees and over 1,000 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 Corporation also has one of the few biocontainment units in the United States equipped to safely care for those exposed to highly contagious, dangerous diseases. The 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. During fiscal year 2012, all other hospital services incurred over 240,000 cases and approximately 73,000 patient days. Approximately 70% of the revenue was derived from inpatient cases.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>990, PART XI, LINE 5</ReturnReference>
        <Explanation>Change in Noncontrolling Interest 641,821 Equity Changes in Subs. 2,346,549 Change in Pension Accts (12,006,245) Change in Unreal Loss Invstmts (1,752,915) Net Assets Released (571,456) Clarkson College Net Income (1,389,607) Change in Clarkson Coll Fund Bal (956,943) Total (13,688,796)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Nancy Keegan TITLE:Member HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Bradley E Britigan TITLE:Member HOURS:1</Explanation>
      </GeneralExplanation>
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