UNMC PHYSICIANS: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
UNMC PHYSICIANS (EIN 47-0785575)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-10
IRS object ID
201130419349301223
Schema version
2009v1.7
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)
Timestamp2011-02-10T13:28:08-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470785575EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNMC PhysiciansBusinessNameLine1
FieldValueIRS element (for citing)
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
Phone4025597990Phone
Date Signed2011-02-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4023481450Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts203880432GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees1410TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year442860ContributionsGrantsCurrentYear
Program Service Revenue Prior Year186192306ProgramServiceRevenuePriorYear
Program Service Revenue CY203767140ProgramServiceRevenueCY
Investment Income Prior Year506601InvestmentIncomePriorYear
Investment Income Current Year403495InvestmentIncomeCurrentYear
Other Revenue Prior Year1068908OtherRevenuePriorYear
Other Revenue Current Year-733063OtherRevenueCurrentYear
Total Revenue Prior Year187767815TotalRevenuePriorYear
Total Revenue Current Year203880432TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20996949GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY37224110GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year113141592SalariesEtcPriorYear
Salaries Etc Current Year112913065SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year47325212OtherExpensePriorYear
Other Expenses Current Year52011757OtherExpensesCurrentYear
Total Expenses Prior Year181463753TotalExpensesPriorYear
Total Expenses Current Year202148932TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6304062RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1731500RevenuesLessExpensesCY
Total Assets BOY115279150TotalAssetsBOY
Total Assets EOY117107955TotalAssetsEOY
Total Liabilities BOY41874375TotalLiabilitiesBOY
Total Liabilities EOY38573920TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY73404775NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY78534035NetAssetsOrFundBalancesEOY
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
Expense196928066Expense
Grants37224110Grants
Revenue204777880Revenue
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 2009, UNMC PHYSICIANS SERVED MORE THAN 390 THOUSAND PATIENTS IN ITS CLINICS AND OVER 260 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 2.5 MILLION DOLLARS, AT COST, IN CHARITABLE CARE TO THE UNDERSERVED AND THOSE UNABLE TO PAY FOR MEDICALLY NECESSARY HEALTHCARE SERVICES. IN ADDITION, OVER 29 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 31 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 Expense196928066TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109675NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1410NumberOfEmployees
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
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES A ENKE
DIRECTOR40.0X29886521800734030
KEVIN L GARVIN
DIRECTOR40.0X34082220570833477
JOHN L GOLLAN
EX OFFICIO DIRECTOR40.0X15280828878124077
DONALD A LEOPOLD
DIRECTOR40.0X26282120384738198
CARL V SMITH
VICE CHAIR/DIRECTOR40.0X21359221900527337X
CRAIG W WALKER
DIRECTOR40.0X37599622140038679
STEVEN WENGEL
DIRECTOR40.0X4000022185024199
JAMES WISECARVER
DIRECTOR40.0X24608711428343840
Lynell Klassen
DIRECTOR40.0X4771626387026922
GERALD GROGGEL
DIRECTOR40.0X20442310661519222
ROBERT MUELLEMAN
SECRETARY-TREASURER/DIRECTOR40.0X21122216658244135X
RODNEY S MARKIN
CHAIR/PRESIDENT/CEO40.0X33609119356536862X
MICHAEL SITORIUS
DIRECTOR40.0X5880022792227844
PIERRE FAYAD
DIRECTOR40.0X13950520990620783
MARK MAILLIARD
DIRECTOR40.0X18010510866818274
JOHN SPARKS
DIRECTOR40.0X14440020607319507
DEBRA ROMBERGER
DIRECTOR40.0X210678319487471
THOMAS HEJKAL
DIRECTOR40.0X26262711619724798
STEVE HINRICHS
DIRECTOR40.0X21800021161538314
KEN FOLLETT
DIRECTOR40.0X44680813082243659
SHIELA ELLIS
DIRECTOR40.0X27132010327630134
DAVID W MERCER
DIRECTOR40.0X1666508606146738
CORY D SHAW
EXEC VP/CAO40.020044415408025180X
TROY WILHELM
CFO40.0251135019026X
DENNIS BIERLE
COO40.0225647020501X
CARIN BORG
ADMINISTRATOR40.07569910252521998X
HAROLD MAURER
PHYSICIAN/CHANCELLOR40.08907751259342607X
LISA RUNCO
ADMINISTRATOR40.0798388678824436X
BRYAN SCHWAHN
ADMINISTRATOR40.01031937528229458X
DAVID MELLIGER
administrator40.0706408271521234X
JEAN BOTHA
PHYSICIAN40.06331217088144533X
ALAN LANGAS
PHYSICIAN40.08190499517943106X
WENDY JEAN WARD
PHYSICIAN40.06333087080744401X
TRACY DORHEIM
PHYSICIAN40.043429811256744736X
WILLIAM THORELL
PHYSICIAN40.04637647399444570X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8908549TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5293412TotalReportableCompFrmRltdOrgs
Total Other Compensation1094286TotalOtherCompensation
Number Individuals GT100 K37NumberIndividualsGT100K
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
KIEWIT BUILDING GROUP INC
3921 MASON STREETOMAHANE681051840GENERAL CONTRACTOR4524529
NEBRASKA MEDICAL CENTER
988145 NEBRASKA MEDICAL CENTEROMAHANE681988145MEDICAL CALL CENTER383344
GOLDNER COOPER COTTON SUNDELL
8901 W DODGE RD SUITE 210OMAHANE68114Physician Svcs.200000
ADP
PO BOX 78415PHOENIXAZ85062PAYROLL SERVICE190050
RELAYHEALTH
PO BOX 403421ATLANTAGA30384STMT PRINTING & MAIL183170
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
All Other Contributions442860AllOtherContributions
Total Contributions442860TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SVC REVENUE621400196781195196781195
MISC. CLINICAL SUPPORT REVENUE90009921064642106464
THE NEBRASKA MEDICAL CENTER - CLINIC SUPPORT90009948794814879481
FieldValueIRS element (for citing)
Total Program Service Revenue203767140TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column403495TotalRevenueColumn
Exclusion$403,495ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
DEPARTMENTAL MISC. DEPOSITS56100010107401010740
LOSSES IN JOINT VENTURE900099-1743803-$1,743,803
FieldValueIRS element (for citing)
Total Other Revenue-733063TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column203880432TotalRevenueColumn
Related Or Exempt Function Income204777880RelatedOrExemptFunctionIncome
Exclusion-$1,340,308ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total31619635Total
Program Services31619635ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total5604475Total
Program Services5604475ProgramServices

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)
Total11488744Total
Program Services11488744ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total80760049Total
Program Services80760049ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10444412Total
Program Services10444412ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6190522Total
Program Services6190522ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4029338Total
Program Services4029338ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total79864Total
Management And General79864ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total108951Total
Management And General108951ManagementAndGeneral

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)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total466191Total
Program Services466191ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1398149Total
Program Services1398149ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3043709Total
Program Services3043709ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total292387Total
Program Services292387ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total107930Total
Program Services107930ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1498059Total
Program Services1498059ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total402889Total
Management And General402889ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DEAN & DEPT DEVELOPMENT FUND94501709450170
CONTRACTED PHYSICIAN SVC93418249341824
PROVISION FOR BAD DEBT EXPENSE82562698256269
MEDICAL SUPPLIES/EQUIPMENT41367344136734
MEDICAL MALPRACTICE EXPENSE30972203097220

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10331411Total
Program Services5702249ProgramServices
Management And General4629162ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total202148932Total
Program Services196928066ProgramServices
Management And General5220866ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25771012BOY
EOY14881197EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2459892BOY
EOY2470322EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY31229942BOY
EOY33061316EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY236751BOY
EOY392868EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY77892BOY
EOY522565EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis33247123LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11684998LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16786819BOY
EOY21562125EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY31434141BOY
EOY35552760EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2340142BOY
EOY462251EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4942559BOY
EOY8202551EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY115279150BOY
EOY117107955EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23889457BOY
EOY23551686EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17984918BOY
EOY15022234EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41874375BOY
EOY38573920EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY73404775BOY
EOY78534035EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY73404775BOY
EOY78534035EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY115279150BOY
EOY117107955EOY
FieldValueIRS element (for citing)
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 Year442860CurrentTaxYear
Total442860Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years145982067CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157535782CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years179803474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year187261214CurrentTaxYearMinus1Year
Current Tax Year204777880CurrentTaxYear
Total875360417Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years145982067CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157535782CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years179803474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year187261214CurrentTaxYearMinus1Year
Current Tax Year205220740CurrentTaxYear
Total875803277Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12299303CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14737271CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17833743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25842227CurrentTaxYearMinus1Year
Current Tax Year25069283CurrentTaxYear
Total95781827Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12299303CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14737271CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17833743CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25842227CurrentTaxYearMinus1Year
Current Tax Year25069283CurrentTaxYear
Total95781827Total
FieldValueIRS element (for citing)
Public Support Total509780021450PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years833226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years985619CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years901909CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year506601CurrentTaxYearMinus1Year
Current Tax Year403495CurrentTaxYear
Total3630850Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years207897CurrentTaxYearMinus2Years
Total207897Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years833226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years985619CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1109806CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year506601CurrentTaxYearMinus1Year
Current Tax Year403495CurrentTaxYear
Total3838747Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year-1743803CurrentTaxYear
Total-1743803Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years146815293CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years158521401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years180913280CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year187767815CurrentTaxYearMinus1Year
Current Tax Year203880432CurrentTaxYear
Total877898221Total
FieldValueIRS element (for citing)
Public Support Percentage5090.88851PublicSupportPercentage509
Prior Year Support Percentage0.89530PriorYearSupportPercentage
Investment Income Percentage0.00437InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00460PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4416180OtherCostOrOtherBasis
Depreciation192596Depreciation
Book Value4223584BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6604066OtherCostOrOtherBasis
Depreciation1497994Depreciation
Book Value5106072BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14299343OtherCostOrOtherBasis
Depreciation9994408Depreciation
Book Value4304935BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5568848OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value5568848BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21562125TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
LAND HELD FOR FUTURE EXPANSION3043800
DUE FROM UNMC2802534
DUE FROM OUTSIDE CONTRACTS1869427
COLLEGE OF NURSING0
DUE FROM WVP MED BLDG LLC486790
FieldValueIRS element (for citing)
Total Book Value Other Assets8202551TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
FEES PAYABLE TO UNMC$7,193,239
RESERVE FOR SELF INSURANCE$4,883,373
EDUCATION BUILDING COMMITMENT$2,000,000
UNMC PAYABLE - NPPI$945,622
FieldValueIRS element (for citing)
Total Of Amounts15022234TotalOfAmounts
Total Revenue203880432TotalRevenue
Total Expenses202148932TotalExpenses
Excess Or Deficit For Year1731500ExcessOrDeficitForYear
Net Unrealized GL On Investments3397760NetUnrealizedGLOnInvestments
Total Adjustments3397760TotalAdjustments
Excess Or Deficit Per FS5129260ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt193417448TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3397760NetUnrealizedGainsInvestments
Other Revenues-13860744OtherRevenues
Revenue Not Rptd F990-10462984RevenueNotRptdF990
Revenue Subtotal203880432RevenueSubtotal
Total Revenue Per Form990203880432TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt188288188TotExpensesEtcAuditedFinclStmt
Expenses Subtotal188288188ExpensesSubtotal
Other Expenses Not Included13860744OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt13860744ExpensesNotRptdOnFinStmt
Total Expenses Per Form990202148932TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part XII, Line 2D8,256,269 Bad Debt Expense Reclass 5,604,475 CHARITY CARE RECLASS ---------- 13,860,744
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
Part XIII, Line 4B8,256,269 Bad Debt Expense Reclass

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2382536TotalCommunityBenefitExpense
Net Community Benefit Expense2382536NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20169576TotalCommunityBenefitExpense
Direct Offsetting Revenue17350959DirectOffsettingRevenue
Net Community Benefit Expense2818618NetCommunityBenefitExpense
Percent Of Total Expense0.01430PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1791TotalCommunityBenefitExpense
Direct Offsetting Revenue421DirectOffsettingRevenue
Net Community Benefit Expense1370NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense22553903TotalCommunityBenefitExpense
Direct Offsetting Revenue17351380DirectOffsettingRevenue
Net Community Benefit Expense5202524NetCommunityBenefitExpense
Percent Of Total Expense0.02640PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense168495TotalCommunityBenefitExpense
Net Community Benefit Expense168495NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4995592TotalCommunityBenefitExpense
Net Community Benefit Expense4995592NetCommunityBenefitExpense
Percent Of Total Expense0.02530PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense36074213TotalCommunityBenefitExpense
Net Community Benefit Expense36074213NetCommunityBenefitExpense
Percent Of Total Expense0.18290PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense41238300TotalCommunityBenefitExpense
Net Community Benefit Expense41238300NetCommunityBenefitExpense
Percent Of Total Expense0.20910PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense63792203TotalCommunityBenefitExpense
Direct Offsetting Revenue17351380DirectOffsettingRevenue
Net Community Benefit Expense46440824NetCommunityBenefitExpense
Percent Of Total Expense0.23550PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,559,421BadDebtExpenseAmount
Amount Attributable To1150585AmountAttributableTo
Amount Reimbursed By Medicare21746122AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare41489993CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-19743871MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaBELLEVUE 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.IncomeBasedCriteria
Annual Community Benefit ExplnThe UNMC Physicians community benefit report can be accessed at: www.unmcphysicians.com/v2/default.asp?id=13 Bellevue Medical Center was opening the new hospital during the fiscal year and had a little over a month of activity. Therefore, a community benefit report has not been completed.AnnualCommunityBenefitExpln
Costing Method UsedBOTH 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.CostingMethodUsed
Subsidized Health Services ExplnThe organization does not have information that indicates that services are provided despite a financial loss to the organization. Bellevue Medical Center did not engage in subsidized services during the fiscal year.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnThe amount used to calculate the table 7 percentages is $197,196,609. This amount is derived from part ix line 25 in the amount of $202,148,932, less bad debt of $8,256,269 for unmc physicians. Per the instructions, then the proportionate share of total expenses of the Bellevue medical center joint venture of $3,337,826, less bad debt of $33,880 was added to the unmc physicians' amount.PercentOfTotalExpenseExpln
Bad Debt FootnotePatient 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."BadDebtFootnote
Shortfall As Community BenefitAs 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.ShortfallAsCommunityBenefit
Debt Collection PolicyUNMC 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 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.DebtCollectionPolicy
Number Of Facility Type ExplnUNMC 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 HSOPITAL, HOWVEVER, UNMC PHYSICIANS OWNS 19% OF BELLEVUE MEDICAL CENTER, LLC, WHICH IS A HOSPITAL. THEREFORE, per the instructions, SCHEDULE H INCLUDES ALL CLINICAL ACTIVITIES OF UNMC PHYSICIANS, PLUS 19% OF HOSPITAL ACTIVITY OF BELLEVUE MEDICAL CENTER, LLC.NumberOfFacilityTypeExpln
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 that the community had a need for medical services that was not currently being fulfilled. Between the two organizations they own over 80% of Bellevue Medical Center.NeedsAssessment
Patient Education 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.PatientEducationAssistance
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, 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 70% in this category. Black Non-Hispanic make up 13% of the population; 7.5% is Hispanic - White. The remaining 9% 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, 2010 was Medicare - 19%, Medicaid -10%, Commercial Payors -41%, Self-Pay 18% and Other 12%. Bellevue Medical Center is located in Bellevue, Nebraska. Statistics of the population served is not yet available since the hospital was only open for a month during this fiscal year.CommunityInformation
Community Building ActivitiesThe organization does not currently participate in these types of community building activities. the organization is a physician practice focused on its mission of providing exceptional patient care, education of future medical professionals for the region, and research, while supporting the community. Bellevue Medical Center did not have any community building activities in FY10 as the hospital was only operational 45 days of the fiscal year. However, Bellevue Medical Center plans to partake in community building activities once the hospital has had a chance to develop. PART VI, LINE 6 Unmc physicians is not a hospital and therefore this question is not applicable. Bellevue medical center is a hospital, however, it is not a tax exempt organization, and therefore this question is not applicable.CommunityBuildingActivities
Other Informationpart i, line 2: for further clarification of part i, line 2, both unmc physicians, which is not a hospital and bellevue medical center, which is a hospital through a joint venture, have separate and distinct charity care policies. therefore the "generally tailored to individual hospitals" has been checked.OtherInformation
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. Bellevue Medical Center is not part of a affiliated group. PART VI LINE 8 Unmc physicians is not required to file its community benefit report with any state, however Unmc physicians does make it available to the public via the web link provided above. Bellevue medical center is also not required to file a community benefit report with any state.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION HEARTLAND AFFILIATE
10100 J STREET SUITE AOMAHANE68127135613797501(C)(3)25000FURTHER EXEMPT PURP.
AMERICAN DIABETES ASSOCIATION
14216 DAYTON CIR STE 6OMAHANE68137131623888501(C)(3)10000FURTHER EXEMPT PURP.
NATIONAL MULTIPLE SCLEROSIS SOCIETY
328 south 72nd streetOMAHANE68114470439079501(C)(3)10000FURTHER EXEMPT PURP.
UNIVERSITY OF NEBRASKA MEDICAL CENTER
986800 NE MED CTROMAHANE68198470049123GOVT31171955EDUC. SUPPORT
UNIVERSITY HOSPITAL AUXILIARY
987509 NE MED CTROMAHANE68198470591991501(C)(3)21000FURTHER EXEMPT PURP.
UNIVERSITY OF NEBRASKA FOUNDATION
8712 W DODGE RD STE 100OMAHANE68114470379839501(C)(3)174000FURTHER EXEMPT PURP.
UNMC COLLEGE OF NURSING
985330 NE MED CTROMAHANE68198470049123501(C)(3)76750FURTHER EXEMPT PURP.
THE DURHAM MUSEUM
801 SOUTH 10TH STREETOMAHANE68108470556061501(C)(3)16875FURTHER EXEMPT PURP.
AMERICAN COLLEGE OF PHYSICIANS NEBRASKA CHAPTER
4904 S SWEETBRIAR DRSIOUX FALLSSD57108510253459501(C)(3)7500FURTHER EXEMPT PURP.
Metro Omaha Medical Society
7906 DAVENPORT STREETOMAHANE68114470258950501(C)(6)35000FURTHER EXEMPT PURP.
OMAHA PERFORMING ARTS SOCIETY
1200 DOUGLAS STOMAHANE68102470832480501(C)(3)33333FURTHER EXEMPT PURP.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCHARITY CARETypeOfGrant
Number Of Recipients4585NumberOfRecipients
Amount Of Non Cash Assistance5604475AmountOfNonCashAssistance
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.: DONATIONS WILL BE BUDGETED AT THE DEPARTMENT OR COST CENTER LEVEL. FURTHERMORE, ALL DONATION REQUESTS MUST BE SUBMITTED TO 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 (35 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther 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 OrgsCompReportPrior990RelatedOrgs
CHARLES A ENKE
263514218007353510007042180983897730591024508200
KEVIN L GARVIN
305000205708358220001700116476340835782622259200
JOHN L GOLLAN
1309972667812181100220000185713550615281131285800
DONALD A LEOPOLD
23370218184729119002200016732166343483227955622531300
CARL V SMITH
2087301970054862002200010135143703283222373023620700
CRAIG W WALKER
2784962214009750000014119181703648539011824605500
STEVEN WENGEL
400002218500000018175360904000324611500
JAMES WISECARVER
216087114283300000002881195233550627490112931200
Lynell Klassen
379332638709783000021484354384771929079200
GERALD GROGGEL
17942384615250000022000875086173185521317611708700
ROBERT MUELLEMAN
1962221665821500000021248139973889023247318946900
RODNEY S MARKIN
32609117156510000002200018353156773315635444721239800
MICHAEL SITORIUS
3780022792221000000018954391785880325605400
PIERRE FAYAD
112977209906265280000170323375113950823068900
CORY D SHAW
1520881375804835600165005162128463724420560917417000
TROY WILHELM
207245031864012026014386046430270164000
MARK MAILLIARD
1751051086685000000857487213109918868211848800
JOHN SPARKS
10440018407340000002200076152253453014447922582800
DEBRA ROMBERGER
195384319481529400013522764333552120333806700
THOMAS HEJKAL
129043116197133584000987096963548427250013137700
STEVE HINRICHS
1880002116153000000016144172803514223414723403700
KEN FOLLETT
3596131308228719500026461109083629047327214802000
SHIELA ELLIS
241320103276300000001796784953367228929011544300
DENNIS BIERLE
19811502753200016923035810246151000
JEAN BOTHA
383292543812498290016500349505911337686680748056000
ALAN LANGAS
568220951792508290003166978413359685072110661600
WENDY JEAN WARD
383479543072498290016500349775896336486682888035100
CARIN BORG
75699102525000099408452336068564211458300
HAROLD MAURER
890775125930000039775341858908055655300
LISA RUNCO
7983886788000011753731435393915949949500
BRYAN SCHWAHN
861937528217000000188965390351721220928584400
TRACY DORHEIM
43429811256700003332575213389046762612397800
DAVID MELLIGER
43140827152750000011980677732477826239196900
DAVID W MERCER
1666508606100004500017317712116538784900
WILLIAM THORELL
41214160794516230013200345106170338904982778405400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 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 15The 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 Medical Center (UNMC) who shall serve as the Committee Chair (Committee Chair); 3. two (2) members who are not employees of UNMC Physicians. These two (2) members shall be appointed by the Committee Chair and are subject to approval of Board; and 4. three (3) 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 11The Form 990 is initially reviewed in detail by the Finance Committee of the Board of Directors, with executive management and independent tax specialists present to assist with the review. The Finance Committee's role is to thoroughly understand the Form 990 contents and to report to the full board of directors the results of its review. The review with the full Board of Directors is conducted prior to the filing of the Form 990 with the IRS. The Form 990 is sent to each Director of the Board one week prior to the Board Meeting at which the Form 990 will be reviewed and reported upon by the Finance Committee.
IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONSSCHEDULE R, PART IIUNIVERSITY 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.
IRS FILINGS AND TAX COMPLIANCE990 PART V LINE 2AThe number of employees reported on the w-3 return is different than the number reported on Line 2a of the form 990. This is due to a clerical error in the filing of the w-2 returns that generated blank w-2s.

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)
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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