UNMC PHYSICIANS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNMC PHYSICIANS (EIN 47-0785575)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-13
IRS object ID
201320449349300417
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-02-13T08:44:46-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1Two Central Park Plaza Suite 1501AddressLine1
CityOmahaCity
StateNEState
ZIP Code681021626ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470785575EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTROY K WILHELMName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-02-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1988101 NEBRASKA MEDICAL CENTERAddressLine1
CityOMAHACity
StateNEState
ZIP Code681988101ZIPCode
FieldValueIRS element (for citing)
Gross Receipts218678604GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UNMCPHYSICIANS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionSUPPORT THE MISSION OF UNIVERSITY OF NEBRASKA MEDICAL CENTER, IMPROVE HEALTH OF NEBRASKA THROUGH EDUCATION, RESEARCH, THE HIGHEST QUALITY PATIENT CARE, AND OUTREACH TO UNDERSERVED POPULATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1408TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year345357ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year216861133ProgramServiceRevenuePriorYear
Program Service Revenue CY216358275ProgramServiceRevenueCY
Investment Income Prior Year430515InvestmentIncomePriorYear
Investment Income Current Year384618InvestmentIncomeCurrentYear
Other Revenue Prior Year1410786OtherRevenuePriorYear
Other Revenue Current Year1935711OtherRevenueCurrentYear
Total Revenue Prior Year219047791TotalRevenuePriorYear
Total Revenue Current Year218678604TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year38152001GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY46570240GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year120828112SalariesEtcPriorYear
Salaries Etc Current Year128925952SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year54134533OtherExpensePriorYear
Other Expenses Current Year44804318OtherExpensesCurrentYear
Total Expenses Prior Year213114646TotalExpensesPriorYear
Total Expenses Current Year220300510TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5933145RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1621906RevenuesLessExpensesCY
Total Assets BOY133199110TotalAssetsBOY
Total Assets EOY126343283TotalAssetsEOY
Total Liabilities BOY42518140TotalLiabilitiesBOY
Total Liabilities EOY37696797TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY90680970NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY88646486NetAssetsOrFundBalancesEOY
Mission DescriptionSUPPORT THE MISSION OF THE UNIVERSITY OF NEBRASKA MEDICAL CENTER, AND ALSO TO IMPROVE THE HEALTH OF NEBRASKA THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH, THE HIGHEST QUALITY PATIENT CARE, AND OUTREACH TO UNDERSERVED POPULATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense219442742Expense
Grants46570240Grants
Revenue218293986Revenue
DescriptionUNMC PHYSICIANS DIRECTS ITS RESOURCES TOWARD GIVING LEADING PHYSICIANS THE RESOURCES TO PROVIDE EXCELLENT HEALTHCARE TO PATIENTS ACROSS NEBRASKA AND BEYOND. UNMC PHYSICIANS CONTINUES TO LEAD THE REGION THROUGH A FOCUSED MISSION INCLUDING EXCEPTIONAL PATIENT CARE, EDUCATION THAT EMPOWERS, CUTTING-EDGE RESEARCH AND AN EMPHASIS ON GIVING BACK TO THE COMMUNITY. WITH MORE THAN 50 SPECIALTIES AND SUB-SPECIALTIES, UNMC PHYSICIANS PROVIDES SPECIALIZED SERVICES AND THE LATEST IN TREATMENT OPTIONS TO ITS PATIENTS. OUR PHYSICIANS NOT ONLY TREAT PATIENTS, BUT THEY EDUCATE FUTURE PHYSICIANS. MANY OF OUR DOCTORS TRAINED AND NOW TEACH AT THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. THEY, ALONG WITH EXPERIENCED NURSES, ALLIED HEALTH PROFESSIONALS AND BUSINESS SUPPORT PERSONNEL ARE DEDICATED TO SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITY. CHARITABLE CARE IS A HIGH PRIORITY, AND WE MAKE TREATMENT AVAILABLE TO ALL PERSONS WHO PRESENT THEMSELVES FOR CARE, REGARDLESS OF RACE, CREED, LIFESTYLE, OR ABILITY TO PAY. DURING FISCAL 2012, UNMC PHYSICIANS SERVED MORE THAN 385 THOUSAND PATIENTS IN ITS CLINICS AND OVER 284 THOUSAND PATIENTS THROUGH INPATIENT AND OTHER ANCILLARY SERVICE LINES. IN ADDITION, UNMC PHYSICIANS SUPPORTS MANY COMMUNITY BASED HEALTH PROGRAMS SERVING THE POOR THROUGH DONATED FUNDS, SUPPLIES, PHYSICIAN TIME AND NURSE TIME. UNMC PHYSICIANS PROVIDED MORE THAN 2.6 MILLION DOLLARS, AT COST, IN CHARITABLE CARE TO THE UNDERSERVED AND THOSE UNABLE TO PAY FOR MEDICALLY NECESSARY HEALTHCARE SERVICES. IN ADDITION, OVER 33 PERCENT OF UNMC PHYSICIANS NET PATIENT SERVICE REVENUE CAME FROM GOVERNMENT FUNDED HEALTH INSURANCE PROGRAMS, SUCH AS MEDICAID, MEDICARE AND TRICARE. WHILE THESE GOVERNMENT PROGRAMS DO NOT COVER THE FULL COST OF THE HEALTH SERVICES PROVIDED, UNMC PHYSICIANS TRANSFERRED OVER 38 MILLION DOLLARS TO THE COLLEGE OF MEDICINE AT THE UNIVERSITY OF NEBRASKA MEDICAL CENTER IN SUPPORT OF ITS CLINICAL, EDUCATION AND RESEARCH MISSION. PLEASE SEE THE COMMUNITY BENEFIT REPORT FOR ADDITIONAL DETAILS AT WWW.UNMCPHYSICIANS.COMDescription
Total Program Service Expense219442742TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109683NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1408NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMR TROY K WILHELMNamePerson
Telephone Number4025597990TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES A ENKE
DIRECTOR40.0X27516421798034098
KEVIN L GARVIN
DIRECTOR40.0X40528620993333568
DONALD A LEOPOLD
DIRECTOR40.0X22483517774052825
CARL V SMITH
CHAIR/PRESIDENT40.0X30859222842227079X
CRAIG W WALKER
DIRECTOR40.0X36699622409039067
STEVEN WENGEL
DIRECTOR40.0X7789822633424580
Lynell Klassen
DIRECTOR40.0X5525426760727177
ROBERT MUELLEMAN
SECRETARY-TREASURER/DEPT CHAIR40.0X24550917045443777X
MICHAEL SITORIUS
VICE CHAIR/DEPARTMENT CHAIR40.0X5358623355628251X
JOHN SPARKS
DIRECTOR1.0X021183521314
DEBRA ROMBERGER
DIRECTOR40.0X10004358097051
THOMAS HEJKAL
DIRECTOR40.0X27252918253931217
STEVE HINRICHS
DIRECTOR40.0X21620521322136048
KEN FOLLETT
DIRECTOR40.0X51837218694236619
DAVID W MERCER
DIRECTOR40.0X46000021071939922
DANIEL LYDIATT
DIRECTOR40.0X160981778216585
DANIEL MURMAN
DIRECTOR40.0X1139999807925691
MATTHEW MORMINO
DIRECTOR40.0X33982711157244602
JULIE VOSE
DIRECTOR40.0X17521017920412637
TROY PLUMB
DIRECTOR40.0X1482988941727924
STEVEN LISCO
DIRECTOR40.0X000
CORY D SHAW
EXEC VP/CEO40.021565415840623927X
TROY WILHELM
CFO40.0255590019503X
DENNIS BIERLE
COO40.0220156018064X
CARIN BORG
ADMINISTRATOR40.08073010227527272X
HAROLD MAURER
PHYSICIAN/CHANCELLOR40.010129254534633777X
LISA RUNCO
ADMINISTRATOR40.0862038856826643X
BRYAN SCHWAHN
ADMINISTRATOR40.01143887851831430X
DAVID MELLIGER
administrator40.0797768413922853X
JEAN BOTHA
PHYSICIAN40.05659267169444578X
ALAN LANGNAS
PHYSICIAN40.07403999711842407X
WILLIAM THORELL
PHYSICIAN40.06598957689644210X
PETER LENNARSON
PHYSICIAN40.05704137776844422X
WENDY JEAN WARD
PHYSICIAN40.05661137050444763X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8685080TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5004506TotalReportableCompFrmRltdOrgs
Total Other Compensation1023881TotalOtherCompensation
Number Individuals GT100 K324NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE NEBRASKA MEDICAL CENTER
988145 NEBRASKA MEDICAL CENTEROMAHANE681988145MEDICAL CALL CENTER321300
GOLDNER COOPER COTTON SUNDELL
8901 W DODGE RD SUITE 210OMAHANE68114Physician Svcs.200001
CUREIS HEALTHCARE INC
670 COMMERCE DR SUITE 200WOODBURYMN55125SOFTWARE SUPPORT174720
ADP
PO BOX 78415PHOENIXAZ85062PAYROLL SERVICES200787
OPTUMINSIGHT
2771 MOMENTUM PLACECHICAGOIL60689CLAIMS MANAGER192508
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SVC REVENUE621400152074844152074844
OTHER CONTRACTUAL REVENUE9000996428343164283431
FieldValueIRS element (for citing)
Total Program Service Revenue216358275TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column384618TotalRevenueColumn
Exclusion$384,618ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDEPARTMENTAL MISC. DEPOSITSDescription
Business Code561000BusinessCode
Total Revenue Column1935711TotalRevenueColumn
Related Or Exempt Function Income1935711RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1935711TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column218678604TotalRevenueColumn
Related Or Exempt Function Income218293986RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$384,618ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total40556570Total
Program Services40556570ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total6013670Total
Program Services6013670ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6092890Total
Program Services6092890ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total99259240Total
Program Services99259240ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11076909Total
Program Services11076909ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8070121Total
Program Services8070121ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4426792Total
Program Services4426792ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total296204Total
Management And General296204ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total139982Total
Management And General139982ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total552673Total
Program Services552673ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total300515Total
Program Services300515ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3797673Total
Program Services3797673ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total281148Total
Program Services281148ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total101324Total
Program Services101324ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2153285Total
Program Services2153285ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2372618Total
Program Services1951036ProgramServices
Management And General421582ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DEAN & DEPT DEVELOPMENT FUND98334279833427
CONTRACTED PHYSICIAN SVC46827594682759
PROVISION FOR BAD DEBT EXPENSE88697268869726
MEDICAL SUPPLIES/EQUIPMENT50467725046772

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6376212Total
Program Services6376212ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total220300510Total
Program Services219442742ProgramServices
Management And General857768ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY23798953BOY
EOY26343859EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY38969393BOY
EOY37262099EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY486953BOY
EOY640586EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY612408BOY
EOY499381EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36311896LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15772213LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22241147BOY
EOY20539683EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY42116076BOY
EOY37843306EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY698308BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4275872BOY
EOY3214369EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY133199110BOY
EOY126343283EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26162556BOY
EOY23388728EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16355584BOY
EOY14308069EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY42518140BOY
EOY37696797EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY90680970BOY
EOY88646486EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY90680970BOY
EOY88646486EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY133199110BOY
EOY126343283EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1621906ReconcilationRevenueExpenses
Reconcilation Other Changes-412578ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years442860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year345357CurrentTaxYearMinus1Year
Total788217Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years179803474CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187261214CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years204777880CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year218271919CurrentTaxYearMinus1Year
Current Tax Year218294260CurrentTaxYear
Total1008408747Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years179803474CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187261214CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205220740CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year218617276CurrentTaxYearMinus1Year
Current Tax Year218294260CurrentTaxYear
Total1009196964Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17833743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25842227CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25069283CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31518323CurrentTaxYearMinus1Year
Current Tax Year35899279CurrentTaxYear
Total136162855Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17833743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25842227CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25069283CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31518323CurrentTaxYearMinus1Year
Current Tax Year35899279CurrentTaxYear
Total136162855Total
FieldValueIRS element (for citing)
Public Support Total509873034109PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years901909CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years506601CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years403495CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year430515CurrentTaxYearMinus1Year
Current Tax Year384618CurrentTaxYear
Total2627138Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years901909CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years506601CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years403495CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year430515CurrentTaxYearMinus1Year
Current Tax Year384618CurrentTaxYear
Total2627138Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years-1743803CurrentTaxYearMinus2Years
Total-1743803Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years180705383CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187767815CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years203880432CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year219047791CurrentTaxYearMinus1Year
Current Tax Year218678878CurrentTaxYear
Total1010080299Total
FieldValueIRS element (for citing)
Public Support Percentage5090.86432PublicSupportPercentage509
Prior Year Support Percentage0.87718PriorYearSupportPercentage
Investment Income Percentage0.00260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00362PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationLOSS IN JOINT VENTURE IN 2009: (1,743,803)GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2358686OtherCostOrOtherBasis
Book Value2358686BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4416180OtherCostOrOtherBasis
Depreciation385610Depreciation
Book Value4030570BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12981524OtherCostOrOtherBasis
Depreciation3335707Depreciation
Book Value9645817BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16555506OtherCostOrOtherBasis
Depreciation12050896Depreciation
Book Value4504610BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings20539683TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
FEES PAYABLE TO UNMC$8,721,773
RESERVE FOR SELF INSURANCE$4,336,296
EDUCATION BUILDING COMMITMENT$1,250,000
FieldValueIRS element (for citing)
Total Of Amounts14308069TotalOfAmounts
Total Revenue218678604TotalRevenue
Total Expenses220300510TotalExpenses
Excess Or Deficit For Year-1621906ExcessOrDeficitForYear
Net Unrealized GL On Investments-412578NetUnrealizedGLOnInvestments
Total Adjustments-412578TotalAdjustments
Excess Or Deficit Per FS-2034484ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt164739073TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-412578NetUnrealizedGainsInvestments
Revenue Not Rptd F990-412578RevenueNotRptdF990
Revenue Subtotal165151651RevenueSubtotal
Other Revenues Not Included53526953OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt53526953RevenueNotRptdOnFinStmt
Total Revenue Per Form990218678604TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt166773557TotExpensesEtcAuditedFinclStmt
Expenses Subtotal166773557ExpensesSubtotal
Other Expenses Not Included53526953OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt53526953ExpensesNotRptdOnFinStmt
Total Expenses Per Form990220300510TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part XII, Line 4B8,869,726 Bad Debt Expense Reclass 38,643,557 Transfer to UNMC 6,013,670 CHARITY CARE RECLASS ---------- 53,526,953
EXPLANATION TO THE ORGANIZATION'S FINANCIAL STATEMENTS (FIN 48)FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48) IS NOT APPLICABLE TO UNMC PHYSICIANS AS THEY ARE CONSIDERED A GOVERNMENTAL ENTITY FOR ACCOUNTING PURPOSES.PART X, LINE 2
Part XIII, Line 4B8,869,726 Bad Debt Expense Reclass 6,013,670 CHARITY CARE RECLASS 38,643,557 TRANSFER TO UNMC ---------- 53,526,953

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionSub-Saharan AfricaRegion
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedSEE PART IVSpecificServicesProvided
Total Expenditures13938TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent13938SubtotalAmountSpent
Total Amount Spent13938TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierGENERAL INFORMATION ON ACTIVITIES OUTSIDE THE U.S.Identifier
Return ReferencePART I, LINE 3ReturnReference
ExplanationUNMC FINANCIALLY SUPPORTS UNMC COLLEGE OF MEDICINE'S MEDICAL RESIDENT ROTATION PROGRAM. STUDENTS DO A MONTHLY ROTATION IN SOUTH AFRICA WORKING IN LOCAL HOSPITALS AND CLINICS. UNMC PHYSICIANS PAID $13,938 FOR THE MEDICAL RESIDENT HOUSING.Explanation

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2720441TotalCommunityBenefitExpense
Net Community Benefit Expense2720441NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20578277TotalCommunityBenefitExpense
Direct Offsetting Revenue15939296DirectOffsettingRevenue
Net Community Benefit Expense4638981NetCommunityBenefitExpense
Percent Of Total Expense0.02110PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense9000TotalCommunityBenefitExpense
Direct Offsetting Revenue7223DirectOffsettingRevenue
Net Community Benefit Expense1777NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense23307718TotalCommunityBenefitExpense
Direct Offsetting Revenue15946519DirectOffsettingRevenue
Net Community Benefit Expense7361199NetCommunityBenefitExpense
Percent Of Total Expense0.03340PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense76352TotalCommunityBenefitExpense
Net Community Benefit Expense76352NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5184263TotalCommunityBenefitExpense
Net Community Benefit Expense5184263NetCommunityBenefitExpense
Percent Of Total Expense0.02350PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense45207001TotalCommunityBenefitExpense
Net Community Benefit Expense45207001NetCommunityBenefitExpense
Percent Of Total Expense0.20510PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense50467616TotalCommunityBenefitExpense
Net Community Benefit Expense50467616NetCommunityBenefitExpense
Percent Of Total Expense0.22890PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense73775334TotalCommunityBenefitExpense
Direct Offsetting Revenue15946519DirectOffsettingRevenue
Net Community Benefit Expense57828815NetCommunityBenefitExpense
Percent Of Total Expense0.26230PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$9,479,238BadDebtExpenseAmount
Amount Attributable To1275297AmountAttributableTo
Amount Reimbursed By Medicare25763979AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare50218991CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-24455012MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BELLEVUE MEDICAL CENTER LLCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12500 medical center driveAddressLine1
CityBELLEVUECity
StateNEState
ZIP Code68123ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BELLEVUE MEDICAL CENTER LLCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNMC PHYSICIANSBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1988101 NEBRASKA MEDICAL CENTERAddressLine1
CityOMAHACity
StateNEState
ZIP Code681988101ZIPCode
FieldValueIRS element (for citing)
Facility TypePHYSICIANS CLINICFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3CBELLEVUE MEDICAL CENTER IS STRUCTURED AS AN LLC AND IS A HOSPITAL. UNMC PHYSICIANS IS NOT A HOSPITAL, BUT ITS INFORMATION IS BEING REPORTED AS REQUIRED due to its ownership held in the llc. Per the instructions, unmc physicians has answered part I line 3 based on the joint venture charity care policy OF The Bellevue Medical Center, which is a hospital; and not on the charity care policy of UNMC Physicians, which is not a hospital. However, unmc physician's policy is determined by the fpg level of 150% for part I line 3a and 350% for part I line 3b.
PART I, LINE 6AThe UNMC Physicians community benefit report can be accessed at: http://www.unmcphysicians.com/~/media/Files/pdfs/CBR2011.ashx Bellevue Medical Center is not a 501(c)(3) tax-exempt hospital and is therefore not required to and does not file a community benefit report.
PART I, LINE 7During fiscal year 2012, Bellevue Medical Center made a significant impact on the healthcare needs of the community as evident by rising volumes in a number of services including emergency care, inpatient care, diagnostic testing and maternity services. Furthermore, the hospital provided $1.85 million in charity care, contributed more than $34,000 to various charitable, non-profit and community organizations, and hosted or participated in a number of events designed to promote a healthier community. Bellevue Medical Center hosted the second annual "green" health fair offering a number of free and reduced cost screenings and partnering with Green Bellevue to offer information on promoting a healthier environment. The event attracted almost 400 people from Bellevue and the surrounding area and fairgoers participated in nearly 1,000 screenings. The hospital supported and sponsored a number of the Bellevue Chamber of Commerce events including the title sponsorship for the annual Bellevue-Offutt Runway Run. The hospital was also a sponsor of Offutt's Air Show and Open House providing over 400 free blood pressure screenings during the event, and handing out over 1,000 bottles of sunscreen and hundreds of educational brochures on breast cancer, heart disease and hypertension. Bellevue Medical Center also continued its free Healthy ReVue seminar series. Healthy ReVue is open to the public and offers information, delivered by a clinical professional, on a new health related topic each month. The series has grown extremely popular in the local community and draws more than 30 attendees each month. These initiatives, coupled with the charity care and community support provided by the organization, demonstrate Bellevue Medical Center's ongoing mission to support the healthcare needs of Bellevue, Sarpy County and the surrounding area.
PART I, LINE 7, COLUMN FThe amount used to calculate the table 7 percentages is $220,365,718. This amount is derived from part ix line 25 in the amount of $220,300,784, less bad debt of $8,869,726 for unmc physicians. Per the instructions, the proportionate share of total expenses of the Bellevue medical center joint venture of $9,544,172, less bad debt of $609,512 was added to the unmc physicians' amount.
PART I, LINE 7BOTH UNMC PHYSICIANS AND BELLEVUE MEDICAL CENTER USED THE COST TO CHARGE RATIO FOR FIGURES REPORTED IN THE TABLE. THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE INSTRUCTIONS.
PART III, LINE 4Patient Service Revenue may qualify for financial assistance. The Patient is obligated to complete financial assistance forms and to submit supporting documentation to qualify. Services to patients who provide this information and qualify for assistance are not considered bad debt. Bad Debt is reported for services rendered to those unwilling to pay and /or work with the organization to provide financial assistance if available. This is only after the organization has exhausted all reasonable efforts to collect outstanding balances from the patient. If an account is determined to meet the criteria of a bad debt, the remaining balance will be written off to bad debt expense. As the organization does not have a cost accounting system, the COST OF THE BAD DEBT WAS ESTIMATED USING THE COST TO CHARGE RATIO. THERE IS NO SPECIFIC FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS FOR BAD DEBT, HOWEVER, A DISCUSSION ON NET PATIENT SERVICE REVENUE STATES, "UNMC Physicians has agreements with third party payers that provide payment to UNMC Physicians at amounts different from its established rates. Net patient service revenue is reported at the net realizable amounts from patients, third-party payers and others for services rendered."
PART III, LINE 8As a part of our mission, we will provide treatment to any patient who needs it. We have a disproportionate share of Medicare patients in the community where we provide care below our cost. This produces a loss and is considered a community benefit. Our costing methodology is the cost to charge ratio. We are not a hospital and do not have a hospital cost accounting system to produce detailed cost information at the service level. We do not have or prepare Medicare cost reports, therefore we use the cost to charge ratio.
PART III, LINE 9BUNMC Physicians provides financial assistance to qualified uninsured or underinsured patients requiring non-elective medically necessary treatment. Patients known to qualify for financial assistance (after completing all paperwork and receiving approval) are identified accordingly in the financial systems to ensure financial assistance is used to cover services rendered by UNMC Physicians. Financial assistance can result in 100% assistance sliding to 20%. Consideration is given to medically necessary current charges and can extend for a period up to six months. Patients can renew every six months. A reevaluation of the patient's financial situation may be performed if the patient is unable to comply with the financial assistance arrangements. Patients receive a statement from the organization as long as they have a balance due. Patients of the Bellevue Medical Center known to qualify for financial assistance (once all paperwork is received and approved) are flagged in the system and monitored accordingly to ensure financial assistance is "posted" to the patient account. When the 12 month approval expires, patients are contacted if services have been rendered within the last six months to discuss submittal of new information for continuation of assistance. If patients no longer qualify, other payment options are discussed per organizational policy. Reports are utilized for follow up purposes. Patients who qualify for 100% assistance do not receive guarantor statements (bills) from the organization. Patients who qualify for an 80% or 60% discount work with customer service or collection staff to outline payment arrangements according to set policy.
PART V, SECTION AUNMC PHYSICIANS SUPPORTS THE MISSION OF THE UNIVERSITY OF NEBRASKA MEDICAL CENTER, TO IMPROVE THE HEALTH OF NEBRASKA THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH, THE HIGHEST QUALITY PATIENT CARE, AND OUTREACH TO UNDERSERVED POPULATIONS. UNMC PHYSICIANS IS NOT A HOSPITAL, HOWEVER, UNMC PHYSICIANS OWNS 14% OF BELLEVUE MEDICAL CENTER, LLC, WHICH IS A HOSPITAL. THEREFORE, per the instructions, SCHEDULE H INCLUDES ALL CLINICAL ACTIVITIES OF UNMC PHYSICIANS, PLUS 14% OF HOSPITAL ACTIVITY OF BELLEVUE MEDICAL CENTER, LLC.
NEEDS ASSESSMENTUNMC Physicians uses disease incidence and prevalence data, leading causes of death, community health status research and supply and demand analysis to assess the health care needs of the communities it serves. Bellevue Medical Center is majority owned by The Nebraska Medical Center. UNMC Physicians HAS A MINORITY OWNERSHIP. both OF THESE ORGANIZATIONS are 501(c)(3) organizations. It was determined from previous assessments that the community had a need for medical services that was not currently being fulfilled. A community needs assessment was completed in the Douglas/Sarpy County area during fiscal year 2012 as a collaborative effort between all Omaha area hospitals. Bellevue Medical Center will be publishing the results in addition to their implementation plan by June 30, 2013 in conjunction with The Nebraska Medical Center.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEUNMC PHYSICIANS employs financial counselors and customer service staff, all of whom are trained in assisting our patients with resolution of the patients' liability. Depending on individual patient needs, payment arrangements or financial assistance may be offered to assist our patients with resolution of their balances. Patients are educated about the requirements and eligibility for patient assistance by financial counselors onsite at clinic locations, through brochures and pamphlets, and through the unmc physicians' website. Bellevue Medical Center employs financial counselors, customer service staff and collection staff, all of whom are trained in assisting our patients with resolution of patient liability. Depending upon individual patient needs, payment arrangements or financial assistance may be offered to assist our customers with resolution of patient balances. Additionally, the organization contracts with a company to work with our self pay population to pursue coverage through state, federal or local programs. The contract organization provides this patient population with financial assistance applications to complete as well, therefore, if the patient does not meet requirements for state, federal or local coverage, a financial assistance application can be utilized.
COMMUNITY INFORMATIONOur mission is to further the University of Nebraska Medical Center's mission by giving leading physicians the resources necessary to provide high quality health care to patients from across Nebraska and beyond. In addition, we support the missions of, and provide services to, The Nebraska Medical Center, Children's Hospital & Medical Center, and the Omaha VA Medical Center. We generally serve the local area of Omaha, but provide service to patients throughout the state of Nebraska. In addition, given our close proximity to Iowa, we serve many patients from that state as well. patients from the Omaha Metro area served by UNMC Physicians are predominately White-Non Hispanic with over 73.2% in this category. Black Non-Hispanic make up 13.9% of the population; 6.2% is Hispanic - White. The remaining 6.7% includes Asian, Native American, and Unknown classifications. UNMC Physicians continues to lead the region through a focused mission including exceptional patient care, education that empowers, cutting-edge research and an emphasis on giving back to the community. At UNMC Physicians, we recognize an individual's right to quality healthcare regardless of age, sex, race, religion, national origin, or ability to pay. In addition to providing free or reduced healthcare to low income patients, UNMC Physicians supports the community through employee volunteer hours, donations to many charities and extensive financial support of the University of Nebraska Medical Center. Because of the continued dedication of our talented physicians, we are able to significantly impact the community through leadership in many medical fields. UNMC Physicians grants credit without collateral to its patients, most of whom are local residents and are insured under third party payor arrangements. The mix of our receivables from patients as of June 30, 2012 was Medicare - 10%, Medicaid - 12%, Commercial Payors - 37%, Self-Pay - 36% and Other - 5%. Bellevue Medical Center opened on May 17, 2010 in Bellevue, NE as the first full service, public hospital serving a community of roughly 50,000 residents. The hospitals service area covers all of Sarpy County and extends throughout northern Cass County and southern Douglas County in Nebraska. The hospital also serves the men and women of Offutt Air Force base which is located within its primary market.
PROMOTION OF COMMUNITY HEALTHThe organization is a physician practice focused on its mission of providing exceptional patient care, education of future medical professionals for the region, and research, while supporting the community. Unmc physicians is not a hospital and therefore this question is not applicable. Bellevue Medical Center has an open medical staff policy and the leadership team is active on several community boards. Bellevue medical center is a hospital, however, it is not a tax exempt organization, and therefore this question is not applicable.
STATE FILING OF COMMUNITY BENEFIT REPORTUnmc physicians is not required to file its community benefit report with any state, however Unmc physicians does make it available to the public via the web link provided above. Bellevue medical center is also not required to file a community benefit report with any state.
AFFILIATED HEALTH CARE SYSTEMUNMC Physicians is a not for profit corporation committed to supporting the mission of the University of Nebraska Medical Center ("UNMC"). It was established by UNMC to provide a vehicle for the faculty of the College of Medicine to develop an integrated practice for management of clinical activities. The mission of the University of Nebraska Medical Center is to improve the health of Nebraska through premier education programs, innovative research, the highest quality patient care, and outreach to underserved populations. As previously discussed, Bellevue Medical Center is majority owned by The Nebraska Medical Center, an IRC 501(c)(3) organization.
PART V, SECTION BTHIS SECTION IS NOT REQUIRED TO BE COMPLETED SINCE UNMC PHYSICIANS IS NOT A HOSPITAL, BUT ITS INFORMATION IS BEING REPORTED AS REQUIRED DUE TO ITS OWNERSHIP HELD IN BELLEVUE MEDICAL CENTER. BELLEVUE MEDICAL CENTER (BMC)IS STRUCTURED AS AN LLC AND IS A HOSPITAL, HOWEVER IT IS NOT A 501(C)(3) HOSPITAL. THEREFORE UNDER IRC 501(R), SINCE BMC IS NOT A 501(C)(3) HOSPITAL, PART V, SECTION B, IS NOT REQUIRED TO BE COMPLETED.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOC HEARTLAND AFFILIATION
10100 J STREET SUITE AOMAHANE68127135613797501(C)(3)6000FURTHER EXEMPT PURP.
UNIVERSITY OF NEBRASKA MEDICAL CENTER
986800 NE MED CTROMAHANE68198470049123GOVT38643557EDUC. SUPPORT
UNIVERSITY HOSPITAL AUXILIARY
987509 NE MED CTROMAHANE68198470591991501(C)(3)18000FURTHER EXEMPT PURP.
UNIVERSITY OF NEBRASKA FOUNDATION
8712 W DODGE RD STE 100OMAHANE68114470379839501(C)(3)582000FURTHER EXEMPT PURP.
UNMC COLLEGE OF NURSING
985330 NE MED CTROMAHANE68198470049123GOVT25000FURTHER EXEMPT PURP.
BUILDING BRIGHT FUTURES
1004 FARNAM ST STE 102OMAHANE68102260436138501(C)(3)1243813FURTHER EXEMPT PURPOSE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCHARITY CARETypeOfGrant
Number Of Recipients4787NumberOfRecipients
Amount Of Non Cash Assistance6013670AmountOfNonCashAssistance
Method Of ValuationBOOKMethodOfValuation
Description Of Non Cash AssistancePATIENT FIN'L ASSISTDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 2CHARITABLE GIVING IS PRIORITIZED AS FOLLOWS: 1) HEALTH AND WELLNESS 2) HUMAN SERVICES 3) MEDICAL EDUCATION AND RESEARCH. PROCEDURES FOR MONITORING THE USE OF THE GRANT FUNDS IN THE U.S.: ALL DONATION REQUESTS MUST BE SUBMITTED TO THE CHARITABLE DONATIONS COMMITTEE AND THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. THE CFO MAY ALSO REQUEST ADDITIONAL INFORMATION, AND/OR MAKE THE APPROVAL CONTINGENT UPON THE ORGANIZATION PROVIDING ONE OR MORE REPORTS DURING OR AT THE CONCLUSION OF THE PROJECT SHOWING HOW THE GRANT FUNDS WERE SPENT. ANY SINGLE DONATION REQUEST, OR DONATIONS IN THE AGGREGATE TO ANY ONE CHARITY IN A FISCAL YEAR OF $10,000, SHALL REQUIRE THE APPROVAL OF THE UNMC PHYSICIANS BOARD OF DIRECTORS.
PART IIIUNMC PHYSICIANS HAS A WRITTEN FINANCIAL ASSISTANCE/CHARITY CARE POLICY.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrg
CHARLES A ENKE
25651421798018650006904182680892628206824517400
KEVIN L GARVIN
343581209933617050016334167900444421620227167000
DONALD A LEOPOLD
20758515757317250020167341201445904256258955196455000
CARL V SMITH
2092302064229936202200091031497003006317695246398000
CRAIG W WALKER
2784962240908850000137241841706926380720249433000
STEVEN WENGEL
5289822633425000000185200609677898250950000
Lynell Klassen
503562676074898000217390543855254294784000
ROBERT MUELLEMAN
2220091704542350000205761427508926266085193655000
MICHAEL SITORIUS
3827223355615314000193250899853586261879000
CORY D SHAW
1551361419066051801650046161310306208220270177717000
TROY WILHELM
21569003990000142730523102750940000
JOHN SPARKS
01898350022000017108042300233173000
THOMAS HEJKAL
16250018253911002900110531493205232283582202703000
STEVE HINRICHS
1887052132212750000156381730004146231843234667000
KEN FOLLETT
41572718694210264500149211537206326533293208640000
DENNIS BIERLE
18715603300000128340523002382200000
JEAN BOTHA
53251955194334070165003490059700370860082681372000
ALAN LANGNAS
69652397118000316027920028857720011079230043876
CARIN BORG
807301022750001330985570545494039116286000
HAROLD MAURER
10129254534600003077104038101292580155000
LISA RUNCO
862038856800014432740504830100635100803000
BRYAN SCHWAHN
968887851817500002020654980572613459489742000
DAVID MELLIGER
43776841393600000133716887025959314793621000
DAVID W MERCER
4000002107196000000235001381202730483500227261000
WILLIAM THORELL
455960603962039350165003388164030392669377687225000
DANIEL LYDIATT
1609817782100006207037816098184406000
DANIEL MURMAN
73764815794023501650013669809603926127668110101000
MATTHEW MORMINO
268122950727170501650028958941006234368785127216000
PETER LENNARSON
36401477768206399003402464720392660443788166000
WENDY JEAN WARD
53270654004334070165003492659550473060103981189000
JULIE VOSE
1752101572040022000-44121448102568170798196253000
TROY PLUMB
11329889417350000011195780308926159493106146000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNANCE, MANAGEMENT, AND DISCLOSURE - CONFLICTS OF INTERESTPART VI, SECTION B, QUESTION 12CAll Covered Persons are required to complete, on an annual basis (at a minimum), a Conflict of Interest Questionnaire and Attestation of Compliance. Any Covered Person considering activity that could create an actual or potential Conflict of Interest must immediately disclose the nature of the Conflict of Interest including all material facts within the Conflict of Interest Questionnaire and Attestation of Compliance. During the time period between annual attestations, Covered Persons are encouraged to seek counsel and advice from the Chairman of the Board of Directors (Chairman) or Chief Executive Officer (CEO) should any questions arise as to whether or not personal activity or proposed activity would be considered a Conflict of Interest. Whenever there is reason to believe that an actual or potential Conflict of Interest exists between UNMC Physicians and a Covered Person, the following procedures for reviewing a potential Conflict of Interest shall be undertaken: 1.Conflicts involving Board members or Members of Board Committees The Chairman shall serve as the Designated Reviewing Official and shall have responsibility (except when he/she is a Covered Person) to promptly bring the actual or potential Conflict of Interest to the attention of the Board for action at the next regular meeting of the Board, or during a special meeting called specifically to review the potential conflict of interest. When the Chairman has an actual or potential Conflict of Interest, the CEO shall serve as the Designated Reviewing Official. 2.Conflicts involving CEO, CFO or COO The Chairman shall serve as the Designated Reviewing Official and shall have responsibility to promptly bring the actual or potential Conflict of Interest to the attention of the Board for action at the next regular meeting of the Board, or during a special meeting called specifically to review the actual or potential Conflict of Interest. 3.Conflicts involving all other Covered Persons The CEO shall serve as the Designated Reviewing Official and shall be responsible for reviewing the actual or potential Conflict of Interest. UNMC Physicians shall refrain from acting upon any transaction involving an actual or potential Conflict of Interest until such time as the actual or potential Conflict of Interest has been reviewed and final resolution (i.e., approved, denied, and/or proposed an alternative arrangement) has been determined through the applicable process described below: 1.Conflicts involving Board members or Members of Board Committees A) The Covered Person shall have an opportunity and must be available to provide factual information about the actual or potential Conflict of Interest. B) The Covered Person shall not participate in any way in, or be present during, the deliberations and decision-making vote with respect to such actual or potential Conflict of Interest. C) The disinterested members of the Board shall consider whether the terms of the actual or potential Conflict of Interest are fair and reasonable to UNMC Physicians and shall vote to determine final resolution. D)Final resolution of the arrangement by the disinterested members of the Board shall be by vote of a majority of directors in attendance at a meeting at which a quorum is present. A Covered Person shall not be counted for purposes of determining whether a quorum is present, nor for purposes of determining what constitutes a majority vote of Board members in attendance. 2.Conflicts involving CEO, CFO, COO A)The Covered Person shall have an opportunity and must be available to provide factual information about the actual or potential Conflict of Interest. B)The Covered Person shall not participate in any way in, or be present during, the deliberations and decision-making vote with respect to the actual or potential Conflict of Interest. C)The Chairman shall bring actual or potential Conflicts of Interest to the attention of the Board for action. Members of the Board shall consider whether the terms of the actual or potential Conflict of Interest are fair and reasonable to UNMC Physicians and shall vote to determine final resolution. D)Final resolution of the actual or potential Conflict of Interest by the disinterested members of the Board shall be by vote of a majority of directors in attendance at a meeting at which a quorum is present. 3.Conflicts involving all other Covered Persons A) The Covered Person shall have an opportunity and must be available to provide factual information about the actual or potential Conflict of Interest. B) The Covered Person shall not participate in any way in, or be present during, the deliberations and decision-making vote with respect to such actual or potential Conflict of Interest. C) The CEO shall be responsible for reviewing and determining final resolution of actual or potential Conflicts of Interest. All results shall be reported to the Chairman who may then determine whether any further board review or action is necessary.
POLICIES - COMPENSATIONPART VI, SECTION B, QUESTION 15A & 15BThe Compensation Committee for accepting/revising/rejecting executive compensation is comprised of: 1. the Chair of the Board of Directors of UNMC Physicians ("Board"); 2. Vice Chancellor for Business and Finance of the University of Nebraska; 3. two members who are not employees of UNMC Physicians. These two members shall be appointed by the Committee Chair and are subject to approval of Board; and 4. three Board members, who are chairs of clinical departments. The Compensation Committee reviews all proposed compensation. All compensation submitted for review must be supported by appropriate documentation, including but not limited to comparability data (i.e., Association of American Medical Colleges (AAMC)) relevant for the occupation and Corporation position. The Compensation Committee shall ensure, when reviewing and approving all compensation (subject to the Compensation Committee Policy and Procedure) that its review and approval qualifies for the rebuttable presumption of reasonableness under the Intermediate Sanctions regulations (26 C.F.R. 53.4958-6, as amended). To ensure such compliance, the Compensation Committee shall: 1. ensure that no conflict of interest is present with Compensation Committee members present; 2. receive and rely upon appropriate data as to comparability from internal or external resources prior to making its determination; and 3. document the basis for its determination of reasonableness concurrently with making that determination. Such documentation shall include: a) the terms of the arrangement that was approved and the date it was approved; b) the members of the Compensation Committee who were present and those who voted on it (Quorum is required for any approval); c) the comparability data obtained and relied upon by the Compensation Committee and how such material was obtained; and d) the action(s) taken by the Compensation Committee.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREForm 990, Part VI, Line 19Governing documents, Conflict of Interest policy, and audited financial statements are available to the public upon request in the administration offices.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, LINE 11BThe Form 990 is initially reviewed in detail by the Finance and Audit committees of the Board of Directors, with executive management and independent tax specialists present to assist with the review. The Committees' role is to thoroughly understand the Form 990 contents and to report to the full board of directors the results of its review. The review with the full Board of Directors is conducted prior to the filing of the Form 990 with the IRS. The Form 990 is sent to each Director of the Board one week prior to the Board Meeting at which the Form 990 will be reviewed and reported upon by the Committees.
IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONSPART VII, SECTION AUNIVERSITY OF NEBRASKA MEDICAL CENTER IS A PART OF THE UNIVERSITY OF NEBRASKA GOVERNED BY THE BOARD OF REGENTS.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, SECTION A, LINE 6The Corporation's Bylaws and Articles of Incorporation provide that all full time, part time and volunteer faculty members of the University of Nebraska College of Medicine who provide professional clinical healthcare services and have a separate employment arrangement with Corporation are deemed members of the Corporation. Each full time member is entitled to one vote on any matter submitted to a vote of the members.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, SECTION A, LINE 7AFour director seats on the board of directors shall be filled by and elected by the full time members of the corporation.
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, SECTION A, LINE 7BThe Board of Regents of the University of Nebraska (Board of Regents), is a public corporate body organized and existing under the Constitution and laws of the State of Nebraska. The Corporation exists under the provisions of the medical service plan as adopted by the Board of Regents. Therefore, certain actions taken by the Corporation require approval by the Board of Regents. In addition, certain matters taken up by the Corporation's Board of Directors may require member approval.
RECONCILIATION OF NET ASSETS990, PART XI, LINE 5UNREALIZED GAIN ON INVESTMENT (412,578)
GOVERNANCE, MANAGEMENT, AND DISCLOSUREPART VI, SECTION A, LINE 2CARL V SMITH AND MICHAEL SITORIUS HAVE A BOARD RELATIONSHIP
Form 990, Part VII, Section A, (21)Steven Lisco became a director in May 2012. Since compensation is reported on a calendar year basis for the year ending 12/31/2011, no compensation is reported for Dr. Lisco on the current year return. However, he was paid as a physician during May and June 2012 which will be reported on next year's Form 990.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

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

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