2011-05-13T09:14:57-05:00 2010-06-30 KPMG LLP Two Central Park Plaza Suite 1501 Omaha NE 681021626 990 2009-07-01 911858433 THE NEBRASKA MEDICAL CENTER NEBR 4025594000 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 MR WILLIAM S DINSMOOR 4025594000 2011-05-06 true 4023481450 2009 2016-02-24 21:20:13Z WILLIAM DINSMOOR 987400 NEBRASKA MEDICAL CENTER OMAHA NE 681987400 840946678 false X www.nebraskamed.com X 1997 NE To be the region's premier medical provider by serving our patients and community through extraordinary care, the finest people and academic and private practice medicine. 12 7 6552 675 1969060 -4322 4649880 5252479 764076148 823012074 5380144 8123522 9796095 518255 783902267 836906330 80603127 101620339 0 0 297859448 313995701 48731 45139 1370485 370974732 375304987 749486038 790966166 34416229 45940164 685689293 731070671 224951629 224250558 460737664 506820113 To be the region's premier medical provider by serving our patients and community through extraordinary care, the finest people and academic and private practice medicine. false false 132894949 20972323 156516075 Oncology Services Cancer treatment services offered by the Corporation include treatment of lymphoma, leukemia, head and neck, breast, gastrointestinal, lung, prostate, gynecologic, blood, bone marrow, brain and spine cancers. The patients are supported by research that is conducted on the Corporation/UNMC campus. The Corporation and partner UNMC Eppley Cancer Institute is the only clinical cancer center in its service area certified by the National Cancer Institute. In addition to treatment and clinical trials The Corporation offers support groups, social work, pain management, legal and survivorship programs as supportive services. Last year the Corporation opened a new cancer center near Village Pointe offering outpatient services in effort to serve the growing demand of excellent cancer care closer to patient homes. In addition, as one of the busiest programs in the world, the Bone Marrow Transplantation program served 133 patients in the year ended June 30, 2010. The program benefits from the research conducted on the Corporation/UNMC campus and the Cooperative Care program which assists patients to prepare for and recover from the transplant in a home-like setting with a care partner of their choosing. The program is housed in the Lied Transplant Center and recognizes the importance of environment to the patient's overall well-being. During fiscal year 2010, the Oncology Service Line incurred over 73,000 cases and almost 22,000 patient days. Approximately 48% of the net revenue was derived from inpatient cases. 95223287 14331544 110646749 Cardiology Services The Corporation provides a wide range of cardiology services from diet counseling to surgical procedures and rehabilitation. The Corporation has been successful in recruiting physicians and has the only heart failure specialist in the region and the only heart failure program certified by The Joint Commission in the state of Nebraska. The Congestive Heart Failure program and Acute Myocardial Infarction program each received the "Gold Seal of Approval" certification from The Joint Commission. These services are the first and only nationally certified programs of their kind in the state of Nebraska. The Chest Pain Center has received full Chest Pain Center Accreditation with Percutaneous Coronary Interventions (PCI) from the Society of Chest Pain Centers. The Nebraska Medical Center has been recognized for service excellence under the J.D. Power and Associates Distinguished Hospital Program.SM This distinction acknowledges a strong commitment by The Corporation to provide "An Outstanding Cardiovascular Experience" for a third consecutive year. The program treats patients from the surrounding region and in the year ended June 30, 2010, 361 open heart surgeries were performed. During fiscal year 2010, the Cardiology Service Line incurred over 39,000 cases and over 17,000 patient days. Approximately 64% of the revenue was derived from inpatient cases. 81403749 10259691 90134633 Solid Organ Transplantation Service Line The Corporation operates one of the busiest solid organ transplant programs in the world. In the year ended June 30, 2010, the Corporation performed 260 solid organ transplants including liver, kidney, heart, pancreas and small bowel. The success of the Corporation's solid organ transplant program is heightened by research done on the Corporation/UNMC campus. Patients have come to the Corporation for single-or multiple-organ transplant from all 50 states and five continents. During fiscal year 2010, the Solid Organ Transplantation Service Line incurred over 27,000 cases and 17,000 patient days. Approximately 83% of the revenue was derived from inpatient cases. 63284589 5929183 70841277 Neurolgy Service Line 415142793 50127598 391380766 Other Program Services 478427382 56056781 462222043 787949367 true true false true false false true false true true false true false false true false false true true false true true true true true false false false false false false false false true true false false false false false true true false false true 462 0 true 6552 true true true false false false false true true false false false 12 7 true false false false true true true true true false false false true true true true true true true true false X STEPHANIE DAUBERT 4025522889 988145 NEBRASKA MEDICAL CENTER OMAHA NE 681988145 Bruce R Lauritzen 1.0 X X 0 0 0 Mogens C Bay 1.0 X X 0 0 0 Jan Thayer 1.0 X X 0 0 0 Bruce Grewcock 1.0 X X 0 0 0 Duane W Acklie 1.0 X 0 0 0 James T Canedy 1.0 X 0 0 0 Randolph Ferlic MD 1.0 X 0 0 0 John Gollan MD 1.0 X 0 0 0 Ronald Hollins MD 1.0 X 0 0 0 Harold Maurer MD 1.0 X 0 0 0 Gail Walling Yanney MD 1.0 X 0 0 0 James Young 1.0 X 0 0 0 Marlin G Stahl MD 1.0 X 0 0 0 Glenn A Fosdick 55.0 X 1484076 0 139627 Stephen Smith MD 55.0 X 776413 0 97170 William Dinsmoor 55.0 X 645871 0 89280 Joe Graham 55.0 X 573215 0 96628 Rosanna Morris 55.0 X 334129 0 35152 Louis Burgher MD 55.0 X 269527 0 3240 Martin Carmody 55.0 X 219044 0 29655 Thomas Macy 55.0 X 210732 0 34727 Natale Ponticello 55.0 X 230088 0 30114 Tadd Pullin 55.0 X 301748 0 25455 Cynthia Owen 55.0 X 238746 0 29277 Lianne Stevens 55.0 X 199239 0 29296 Theresa Franco 55.0 X 220511 0 28509 Deborah Istas 55.0 X 209982 0 27823 Jorge Parodi 55.0 X 199828 0 33080 Ruta Davidson 55.0 X 227915 0 17067 Haysam Akkad MD 55.0 X 1335908 0 20875 Lon Keim MD 55.0 X 247937 0 0 Richard Hurd MD 55.0 X 219881 0 30335 Gordon Moshman MD 55.0 X 208576 0 26272 David Fuller 55.0 X 207009 0 23771 8560375 0 847353 211 false true false UNMC PHYSICIANS 988101 NE MED CTR OMAHA NE 681988101 MEDICAL SERVICES 9755425 KIEWIT BUILDING GROUP 3921 MASON ST OMAHA NE 68105 CONSTRUCTION 9143889 CARDINAL HEALTH 5840 F STREET OMAHA NE 68117 MANAGEMENT FEE 7134834 UNMC 984290 NE MED CTR OMAHA NE 681984290 MEDICAL SERVICES 5372362 MEDQUIST TRANSCRIPTIONS INC 9009 CAROTHERS PKWY STE C-3 FRANKLIN TN 37067 TRANSCRIPTION SVCS 3672851 125 501705 320132 4430642 12000 5252479 Net Patient Revenue 900099 814208690 814208690 Remote Pharmacy Services 446110 3454579 3367227 87352 Medical Communication Center 900099 1129226 1129226 Lied Hospitality 900099 992423 992423 All other Program Service 900099 3227156 3227156 823012074 8706998 8706998 0 0 2536283 481764 2536283 481764 3018047 976278 2041769 3107434 31394 3406379 315925 -298945 -284531 -583476 -583476 28690 501705 318044 -289354 -289354 0 0 MINORITY INTEREST 900099 -9078919 -9078919 Environmental Services 900099 2771816 2771816 Child Care 446110 966512 685967 280545 3130153 2505268 624885 -2210438 836906330 819519500 1969060 10165291 60507676 60507676 41112663 41112663 0 0 8253927 8253927 0 245475470 244912275 563195 21479939 21464543 15396 20741968 20732413 9555 18044397 18010481 33916 0 727741 727741 918573 918573 90646 90646 45139 45139 82740 82740 53409445 53359651 49794 4020971 3583124 437847 5299120 5236897 62223 0 0 5283698 5282288 1410 771247 734725 36522 0 374977 372022 2955 3081775 3081775 0 41599001 41590024 8977 3530239 3530239 Medical and Clinical Expense 151880136 151880136 Bad Debt Expense 49149149 49149149 Maintenance/Grounds Upkeep 17144521 17121008 23513 Equipment Rentals/Leases 10086720 10044515 42205 OTHER UNMC/UNMC-P PURCHASES 3266227 3264821 1406 24588061 24551629 36432 790966166 787949367 1646314 1370485 123015298 83165847 66538510 111029968 5325000 5657700 95738698 104721279 0 2687911 3916904 4034455 5578623 5221653 721503344 393882968 338110319 327620376 14954313 47677391 14743442 16659533 17768186 22594558 685689293 731070671 70666490 79490678 65736502 48797236 15640376 12197726 72908261 83764918 224951629 224250558 X 446271188 489338655 13407976 15743500 1058500 1737958 460737664 506820113 685689293 731070671 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 90646 90646 false Schedule C, Part II-B, Line 1i Lobbying Expenses This amount consists of hospital lobbying dues paid through annual dues of the National and State Hospital Associations and amounts paid to Radcliffe & Associates and Husch-Blackwell (Law Firms) for lobbying. 417474 X false 14503430 1477127 356880 0 431291 15906146 14479431 1306796 159785 0 1442582 14503430 0.00000 0.07000 0.93000 false false 12337152 12337152 170904708 81253605 89651103 972152 580480 391672 533025026 307941269 225083757 4264306 4107614 156692 327620376 0 Other Long Term Liabilities 30650800 Due to Affiliates 29519297 Estimated Third Party Payor Settlement 14501546 Minority Interest in Consolidated Sub 9093275 83764918 Schedule D, Part III, Line 4 Description of Art Collection The hospital displays its collection of art throughout the walls of the organization. It is a collection of images & portraits taken of various cultures around the world & portrays the hospital's culture of providing medical care to people of all cultures. SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS The majority of the endowment funds held by the hospital are held in order to earn interest in order to provide scholarships or education for employees of the hospital. The term endowment funds include charitable gift annuities. The contributions were made to the hospital and interest is paid back to the contributor as an annuity until the time of their passing. When this occurs, the balance of the annuity is no longer endowed. SCHEDULE D, PART X FIN 48 FOOTNOTE NMC HAS adopted FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No. 109 (FIN 48). FIN 48 provides specific guidance on how to address uncertainty in accounting for income tax assets and liabilities, prescribing recognition thresholds and measurement attributes. THERE WERE NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2010 OR 2009. North America 0 0 Program Services Promote Medical Care 4225 Middle East and North Africa 0 0 Program Services Promote Medical Care 48293 East Asia and the Pacific 0 0 Program Services Promote Medical Care 3959 0 0 56477 International Activities Schedule F, Part 1 INTERNATIONAL ACTIVITIES INCLUDE TRAVEL TO THESE REGIONS FOR MARKETING AND PROMOTION OF INTERNATIONAL PROGRAM OF THE NEBRASKA MEDICAL CENTER INCLUDING PATIENT CARE, TRAINING, AND EDUCATION X X X X X X true Bethany Ochsner FUNDRAISER false 107650 20219 87431 Integrity Writing Services GRANT WRITING false 17000 16920 80 Smith Bourne and Associates FUNDRAISER false 150000 8000 142000 274650 45139 229511 NE POLO!/Patients 530395 501705 28690 15631 175797 41680 68256 16680 0 530395 501705 28690 15631 175797 41680 68256 16680 318044 -289354 true true X true X true X true true true false true true 8217 12730047 12730047 0.01690 64535 98313104 82925814 15387290 0.02050 4085291 2499662 1585629 0.00210 72752 115128442 85425476 29702966 0.03950 25 127981 3157787 1873968 1283819 0.00170 8 742 10108659 8723852 1384807 0.00180 6 31573 20679124 15546190 5132934 0.00680 1 6191447 3405267 2786180 0.00370 10 1550 44943598 30600 44912998 0.05970 50 161846 85080615 29579877 55500738 0.07370 50 234598 200209057 115005353 85203704 0.11320 2 2 21539 21539 1 61650 61650 0.00010 1 246344 38000 208344 0.00030 1 179 179 7 590 335137 124685 210452 0.00030 12 592 664849 162685 502164 0.00070 true 12839917 0 143128570 164522910 -21394340 X true true NEB ORTHO HOSPITAL Acute Care Hospital 0.00000 0.00000 0.47710 BELLEVUE MED CENTER Acute Care Hospital 0.62310 0.00000 0.12050 The Nebraska Medical Center

987400 Nebraska Medical Center Omaha NE 681987400

X X X X Clarkson West ASC

2727 S 144th Street Omaha NE 68144

Ambulatory Surg Ctr Clarkson West Emergency Dept

2727 S 144th Street Omaha NE 68144

X Clarkson West Radiology Dept

2727 S 144th Street Omaha NE 68144

Provider Based Radiology Department Clarkson West Laboratory

2727 S 144th Street Omaha NE 68144

Provider Based Laboratory Dept Outpatient Pharmacy & Physical Therapy

3604 Summit Plaza 23 Bellevue NE 68123

Pharmacy, Physical Therapy The Cancer Ctr at Village Point Med Ctr

111 N 175th Street Omaha NE 68118

Radiation, Oncology, Radiology, Pathology Pharmacy, Treatment BELLEVUE MEDICAL CENTER LLC

2500 MEDICAL CENTER DRIVE BELLEVUE NE 68123

X X X Not applicable as the organization does follow FPG to determine eligibility for providing free care to low income individuals. The Organization's community benefit report can be accessed at http://www.nebraskamed.com/newsroom/community Bellevue Medical Center (BMC) 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. These numbers are computed in a cost accounting system that produces a cost for every charge we bill for and are equitably assigned based on the usage of the charge codes. The relative value units for seven categories of expense are updated annually for each charge code for the cost accounting purposes and tied out to our financial statements to ensure integrity of the system. These total costs from patient information are tied back to the Hospital's financial statements to ensure that the system has integrity. Physician Clinics were included in the subsidized health services calculation resulting in additional net community benefit expense of $1,793,478. The amount used to calculate the table 7 percentages is $752,650,778. This amount is derived from part ix line 25 in the amount of $790,966,166, less bad debt of $49,149,149 for the Nebraska medical center. Per the instructions, then the proportionate share of total expenses of the Bellevue medical center joint venture of $10,945,486, less bad debt of $111,725 was added to the Nebraska medical center's amount. The organization's footnotes to the consolidated financial statements do not contain a footnote specifically covering bad debt expense. Though patient income may qualify them for financial assistance, the patient has obligations as well to complete financial assistance forms and to submit supporting documentation to qualify. Patients who provide this information and qualify for assistance would never go to bad debt. Therefore, it is reasonable to state that our bad debt expense is for those unwilling to pay or unwilling to work with us to provide financial assistance if available. If an account is completely written off to bad debt, the total cost via the cost accounting system is applied. If only a portion of the account was written off to bad debt, then bad debt as a percentage of charge is then applied to the total cost for the encounter to estimate the cost associated with the bad debt. The amount that goes to collections is patient liability. Not collecting these dollars is a direct expense to the organization. As a not-for-profit healthcare organization, it is our responsibility to help anyone who presents themselves with a health issue; as such we have less control over what gets recognized as bad debt. To compute bad debt at cost, management used all discharged cases in fiscal year 2010 with bad debt write-off. The write-off was computed as a percentage of charge and then multiplied by the total cost (determined by a detailed cost accounting methodology) to estimate the cost of bad debt. Overall Medicare patients produce a negative 4% margin on Gross Charges. This is spread across almost all of our Product lines. Our heaviest losses are from the Neurology, Oncology and Cardiac product lines on the inpatient side and from Oncology and Surgery on the outpatient side. In general Medicare inpatients do cover the direct costs of providing their care however the indirect costs to support the hospital must be accounted for and turns the margin negative. These numbers are computed in a cost accounting system that produces a cost for every charge we bill for and are equitably assigned based on the usage of the charge codes. The system is updated annually for cost accounting purposes and tied out to our Financial Statements to ensure integrity of the system creating our product line profitability statements. Patients 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. We do not have rehabilitation, free standing diagnostic facilities, or skilled nursing. Our ancillary services are designated as hospital-based and included on our license. BMC is majority owned by the Nebraska Medical Center (NMC). UNMC Physicians has a minority ownership. Both organizations are 501(c)(3) organizations. It was determined that the community had a need for medical services that was not currently being fulfilled. Between the two organizations they own over 80% of BMC. NMC uses disease incidence and prevalence data, leading causes of death, community health status research and supply and demand analysis to assess the health care needs of the communities it serves. NMC and BMC employ Financial Counselors, Customer Service Staff and Collection Staff, all of whom are trained in assisting our patients with resolution of patient liability. Depending upon individual patient needs, payment arrangements or financial assistance may be offered to assist our customers with resolution of patient balances. Additionally, the organization 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. Charity Care Policy: This policy outlines the guidelines Patient Financial Services (PFS) will use to ensure adequate and appropriate follow up is completed in order for qualifying patients to receive charity care. PFS will work with patients to find payment solutions when available. This policy is written to ensure a fair and comprehensive system of distributing charity care to financially burdened patients within the available resources of NMC in a manner that does not discriminate based on race, creed, color, sex, national organ, religion or age. Policy: A. Charity care is available when all other recovery sources have been exhausted. B. Charity care is provided to patients who have demonstrated inability to meet their financial obligation to NMC. C. Charity care will not be approved for elective and/or cosmetic care. D. Charity care may be approved in the instance of catastrophic care. E. All transplant patients must meet with a transplant financial counselor to secure financial clearance. All transplant patients must pass financial screening or must be approved via the transplant variance policy. charity approval for other services prior to consideration for transplant DOES NOT MEET THIS REQUIREMENT. F. Prior approval for charity care does not apply for future elective or cosmetic procedures. GUIDELINES A. Identification process 1) The hospital maintains a separate policy in order to assure compliance with the emergency medical treatment and active labor act (EMTALA) and a separate patient rights and organizational ethics policy. This charity care policy is subject to the terms of those policies. 2) The physician or designee will identify, at the time of booking, those patients who are emergent or urgent. These patients will not be denied admission based on ability to pay. 3) Financial counselors authorized by NMC will identify patients requiring financial screening. B. Verification of Insurance Eligibility and Benefits 1) The patient will execute an assignment of insurance benefits on behalf of the hospital. 2) Verification of eligibility, benefits, and payer source will be performed in a timely manner according to patient finance and access services departmental procedures. C. Financial Counseling 1) Financial Counselors and contracted vendors will assist patients requiring financial assistance. 2) Financial Counselors and vendors will assist patients in seeking reimbursement from local, state, and federal programs when there is no other source of payment as well as assisting patients with applications or making appointments to qualify for government programs. 3) Patients are responsible for follow up meetings with an agency that may provide financial resources for health care services. Charity assistance may be terminated at any time due to non compliance with this expectation. We serve many communities, international, regional, state and local Omaha. The statistics below describe our "local" Omaha community defined as Douglas and Sarpy counties in Nebraska. This local area represents approximately 70% of our inpatient and outpatient discharges and visits. The 2009 estimated population for this local area is 656,401. The estimated race breakdown of the population is below. WHITE NON-HISPANIC 503,880 76.8% BLACK NON-HISPANIC 61,953 9.4% HISPANIC 58,322 8.9% ASIAN AND PACIFIC ISL. NON-HISPANIC 16,215 2.5% ALL OTHERS 16,031 2.4% There are nine hospitals in Nebraska to serve the local community. Methodist Hospital, Methodist Women's Hospital, Lakeside Hospital, Bergan Mercy Medical Center, Midlands Hospital, Creighton Medical Center, Children's Hospital, Immanuel Hospital, BMC and NMC. There are four designated medically underserved areas in Douglas County (three areas) and Sarpy County (one area.) The average household income was $70,178. The number in poverty for Douglas/Sarpy counties totals 69,373 people which is 11% of the combined Douglas and Sarpy counties population. In the 2009 calendar year, there were 13,015 Medicaid claims in the local community and 3,211 uninsured or self pay claims. Of these, NMC served 35.1% of the Medicaid claims and 36.2% of the uninsured (or self pay.) NMC recognizes the community benefit of addressing root causes of poor health in order to improve community health. The hospital participated in several community building activities throughout the past year designed to address these root causes. Included in this total are the hospital's efforts to support the Mid-America Hospital Alliance (MAHA); an alliance of rural and critical access hospitals in the region of which the hospital is a founding member. The hospital spends time coordinating resources to ensure smaller, rural hospitals can have access to the expertise and services of a large Academic Medical Center. NMC provides Human Resource consulting services to help these smaller institutions address widespread health care workforce shortages in rural areas. The hospital's community building activities also include programs intended to drive entry into health careers and nursing practice. Many hospital staff members give educational presentations on the health professions and provide mock interview training to area students. NMC also provides many job shadowing opportunities to undergraduate students who wish to explore the health careers, as well as an annual "Look to the Future" event for fourth graders from one of the hospital's adopted schools. Additionally, the hospital has the only bio-containment unit in the state, contributing to disaster preparedness above and beyond licensure requirements. Members of the hospital's critical care and trauma staff share the expertise by participating in community coalitions to improve safety and reduce accidents among children, teens, and seniors. The hospital also encourages economic growth and development by supporting an economic development partnership aimed at the development of new business in the city's urban areas. BMC did not have any community building activities in fiscal year 2010 as the hospital was only operational 45 days of the fiscal year. However, BMC plans to partake in community building activities once the hospital has had a chance to develop. SCHEDULE H, PART VI, LINE 6 NMC is a nonprofit hospital meeting the requirements of Revenue Ruling 69-545. In summary, the hospital operates an emergency room open to all persons without regard to ability to pay, the Hospital also has a Board comprised of members from the community, they have an open medical staff policy, they accept patients paying their bills with Medicaid and Medicare, and they use the surplus of their funds to improve their facilities, equipment, patient care, medical training, education, and research. BMC is a hospital, however, it is not a tax exempt organization, and therefore this question is not applicable. Neither NMC nor BMC are in an affiliated healthcare system. Schedule H, Part VI, Line 8 Nmc files an annual community benefit report to the Nebraska hospital association, who summarizes the data for all the hospitals within Nebraska and provides an annual community benefit report to the state of Nebraska. BMC is not required to file a community benefit report in any state. SCHEDULE H, PART IV, LINE 6 Nebraska orthopaedic hospital is owned by nhs orthopaedic services inc, which is a 100% owned taxable corporation of Nebraska medical center. Nhs orthopaedic services inc owns 46.45% of Nebraska orthopaedic hospital. The Nebraska medical center owns 0% directly of Nebraska orthopaedic hospital. NE true American Heart Association 10100 J St Suite A Omaha NE 68127 135613797 501 (c) 3 39250 General Support for Women's Heart Disease Awarenes March of Dimes 11840 Nicholas Street Omaha NE 68154 131846366 501 (c) 3 21600 General support for premature infant research and American Diabetes Association 14216 Dayton Cir Ste 6 Omaha NE 68137 131623888 501 (c) 3 10000 General support for diabetes research and educatio Salvation Army 3612 Cuming St Omaha NE 68131 362167910 501 (c) 3 15000 General support for programs to assist the underse University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 32097 General support for clinic operations serving unde Hope Medical Outreach Coalition 4920 S 30th Street Omaha NE 68107 470548990 501 (c) 3 25000 General support for referral and interpreter servi Project Harmony 7110 F Street Omaha NE 68117 470789054 501 (c) 3 10000 General support for child protection programs Youth Emergency Services 2679 Farnam St Suite 205 Omaha NE 68131 470586898 501 (c) 3 6000 General support of programs for kids in crisis, ru United Cerebral Palsy Foundation 920 S 107 Ave Ste 302 Omaha NE 68114 470534212 501 (c) 3 10000 General support ofor cerebral palsy research and e Omaha Development Foundation 1301 Harney Street Omaha NE 68102 470629134 501 (c) 3 16650 General support for program to promote business de Greater Omaha Chamber Foundation 1301 Harney Street Omaha NE 68102 470633685 501 (c) 3 45000 Support of Greater Omaha Economic Development and Leukemia and Lymphoma Society 10832 Old Mill Rd Ste 2 Omaha NE 68154 135644916 501 (c) 3 9000 General support for lymphoma research and educatio Joslyn Art Museum 2200 Dodge St Omaha NE 68102 470384577 501 (c) 3 50000 General support of museum operations Cristo Rey Work Study Program 5301 S 36th St Omaha NE 68107 300348099 501 (c) 3 9252 General support of programs to provide job experie University Hospital Auxiliary 987509 Ne Med Ctr Omaha NE 681987509 470591991 501 (c) 3 6000 General support of auxiliary's community efforts Omaha Performing Arts Society 1200 Douglas St Omaha NE 68102 470832480 501 (c) 3 33333 General support of society's operations The Durham Western Heritage Museum 801 S 10th St Omaha NE 68108 470556061 501 (c) 3 50000 General support of museum operations Nebraska Medical Association 233 S 13 St 1200 Lincoln NE 685082026 470372108 501 (c) 3 7000 General support of association's operations UNMC Physicians 988101 Ne Med Ctr Omaha NE 681988101 470785575 501 (c) 3 4879481 Clinical support University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 25000 Faculty Support for the University University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 24699687 General support (AAA agreement) Board of Regents of the University of Nebraska 3835 Holdrege Lincoln NE 68583 470049123 GOVT 6000000 General support Clarkson Regional Health Services Inc 988145 Ne Med Ctr Omaha NE 681988145 470376531 501 (c) 3 6000000 General support Clarkson College 101 S 42nd Street Omaha NE 681312739 363649217 501 (c) 3 2627548 General support Clarkson College 101 S 42nd Street Omaha NE 681312739 363649217 501 (c) 3 21164 Matching Grants Mid-America Council 12401 W Maple Rd Omaha NE 681641853 470376545 501 (c) 3 12000 General support American Parkinson's Disease Foundation 501 N 87th St Suite 205 Omaha NE 68114 131962771 501 (c) 3 6000 General support Wellness Council of the Midlands 11404 W Dodge Rd Omaha NE 68154 470642708 501 (c) 3 10000 General support Community Hospital Association PO Box 107 405 E Main St Fairfax MO 644460107 440537826 501 (c) 3 77500 General support University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 75000 Support the College of Public Health for reducing UNMC Physicians 988101 Ne Med Ctr Omaha NE 681988101 470785575 501 (c) 3 109463 Ehrling Berquist Staff Support University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 2970933 Support operations and expenses of University's mi UNMC Physicians 988101 Ne Med Ctr Omaha NE 681988101 470785575 501 (c) 3 666411 Support operations and expenses of clinics University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 25000 Support of Summer Medical and Dental Education Pro University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 817730 Support operations and expenses of University's mi University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 1731625 Support operations and expenses of University's mi UNMC Physicians 988101 Ne Med Ctr Omaha NE 681988101 470785575 501 (c) 3 5035990 Support operations and expenses of clinics University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 56370 Support operations and expenses of University's mi University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 34567 Support operations and expenses of University's mi UNMC Physicians 988101 Ne Med Ctr Omaha NE 681988101 470785575 501 (c) 3 1452223 Support operations and expenses of clinics University of Nebraska Medical Center 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 2183271 Support operations and expenses of University's mi University of Nebraska Foundation 2285 S 67th St Ste 200 Omaha NE 68106 470379839 501 (c) 3 25000 UNMC Chancellor's Strategic Thinking Retreat Fund Legal Aid of Nebraska 1904 Farnam St Ste 500 Omaha NE 68102 470483506 501 (c) 3 24964 Support to Oncology Patients in need of legal aid Omaha Sports Commission 11235 Davenport St Ste 106 Omaha NE 68154 200724954 501 (c) 3 10000 Support operations and expenses of the Commission University of Ne Med Ctr 986800 Ne Med Ctr Omaha NE 681986800 470049123 GOVT 8950 Summer 2009 Nursing 444 Senior Clinical Nursing Ex UNMC Physicians 988101 Ne Med Ctr Omaha NE 681988101 470785575 501 (c) 3 213263 Support operations and expenses of clinics UNMC Physicians 988101 Ne Med Ctr Omaha NE 681988101 470785575 501 (c) 3 56361 Support operations and expenses of clinics 29 0 Financial Assistance (Charity Care) 8217 40587000 Book Charity Care Financial Assistance (Pharmaceuticals) 2230 78579 Book Emerg Drug Fund Financial Assistance (Renal-Indigent Patients) 9 447084 FMV Indigent Dialysis Review and Approval of Charitable Contributions Schedule I, Part I, Line 1 The Nebraska Medical Center (NMC) has a committee whose responsibility it is to review and approve or disprove requests for sponsorship. This committee is comprised of key executives and other members of the leadership team, as well as representatives from the University of Nebraska Medical Center. Decisions are made on each request individually based on a set of guidelines established by the organization. In order to effectively evaluate and review the many requests we receive, each request is brought before our Sponsorships and Charitable Contributions Committee for consideration. This committee is comprised of key executives and other members of the hospital leadership team. The committee considers each request individually, and contributions are made based on three primary objectives: 1)To support the community need for resources addressing Nebraska's leading causes of death; including cancer, stroke and heart disease. 2)To align with organizations furthering NMC's charitable mission to support causes which significantly impact the overall health status of the community. 3)To support organizations which impact favorably the public image of the hospital and enhance existing partnerships or initiatives. If a sponsorship or charitable contribution request falls within our three primary objectives, the following criteria are then applied to further assist the committee in making funding decisions: 1)Organization must provide proof of 501(c)(3) status from the IRS, or nonprofit designation as a governmental or tribal entity. 2)All requests must be received in writing- no phone requests will be considered 3)Requestor must be able to provide the organization's Non-Discrimination Policy 4)Must be able to provide an organizational operating budget and project budget upon request 5)Proposal must include a list of board members, directors, and key project staff members and the role they serve in the organization. 6)Request must include a brief narrative of the project, including an estimate of numbers of people served by the request and location of communities impacted by the organization's mission. 7)Requests for sponsorship need to be submitted at least 90 days prior to the event, with requests over $10,000 being submitted by March 1 for consideration in the next fiscal year. Groups, Programs and Activities not supported by NMC: 1)Organizations without IRS 501(c)(3) or equivalent tax exempt status 2)Organizations that discriminate on the basis of age, disability, religion, ethnic origin, gender, or sexual orientation 3)Organizations with divisive or litigious public agendas 4)Member based organizations, including chambers of commerce, rotary clubs or IRS 501(c)(4) legions and associations 5)Municipalities, including fire and police departments or related social service groups and political organizations 6)Religious organizations or sectarian programs for religious purposes 7)Fraternal organizations, social clubs, sports teams or clubs, athletic competitions 8)Endowments 9)Multiyear requests and pledges 10)Individuals requesting loans, debt retirements, scholarship or fellowship assistance 11)Travel- including student trips or tours 12)Marketing activities or promotional merchandise 13)Purchase or maintenance of vehicles 14)Film or video projects, including documentaries 15)Beauty pageants Grant Monitoring Procedures Schedule I, Part I, Line 2 Based on the detailed gift policy outlined in Part I, Line 1, the funds are only provided for charitable purposes, and those organizations that receive monies from NMC are required to follow their 501(c)(3) requirements surrounding the use of funds received. X X true true X X X X X X false true false true false true false false false Glenn A Fosdick 573381 0 400000 0 510695 0 135895 0 10385 0 1630356 0 444379 0 Stephen Smith MD 397622 0 255000 0 123791 0 95183 0 4839 0 876435 0 68524 0 William Dinsmoor 321907 0 210000 0 113964 0 85904 0 5564 0 737339 0 58884 0 Joe Graham 313557 0 210000 0 49658 0 86106 0 13170 0 672491 0 0 0 Rosanna Morris 333001 0 0 0 1128 0 35152 0 120 0 369401 0 0 0 Haysam Akkad MD 450953 0 877283 0 7672 0 17640 0 3235 0 1356783 0 0 0 Lon Keim MD 247937 0 0 0 0 0 0 0 0 0 247937 0 0 0 Richard Hurd MD 202956 0 0 0 16925 0 28255 0 3294 0 251430 0 0 0 Gordon Moshman MD 185092 0 0 0 23484 0 24645 0 1627 0 234848 0 0 0 David Fuller 178015 0 0 0 28994 0 20103 0 5269 0 232381 0 0 0 Louis Burgher MD 267187 0 0 0 2340 0 0 0 3240 0 272767 0 0 0 Martin Carmody 206472 0 0 0 12572 0 25231 0 5564 0 249839 0 0 0 Thomas Macy 190593 0 0 0 20139 0 27767 0 7298 0 245797 0 0 0 Natale Ponticello 203092 0 0 0 26996 0 28906 0 3068 0 262062 0 0 0 Tadd Pullin 275123 0 0 0 26625 0 21643 0 4340 0 327731 0 0 0 Cynthia Owen 203964 0 0 0 34782 0 27913 0 1364 0 268023 0 0 0 Lianne Stevens 177925 0 0 0 21314 0 25628 0 3668 0 228535 0 0 0 Theresa Franco 182630 0 0 0 37881 0 24345 0 4164 0 249020 0 0 0 Deborah Istas 196053 0 0 0 13929 0 26896 0 2415 0 239293 0 0 0 Jorge Parodi 179753 0 0 0 20075 0 26316 0 7388 0 233532 0 0 0 Ruta Davidson 178717 0 30000 0 19198 0 12943 0 5264 0 246122 0 0 0 SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLANS Certain executives do participate in supplemental nonqualified retirement plans. A payout occurred during the year from a supplemental nonqualified plan to the following individuals: William Dinsmoor $58,884 Stephen Smith $68,524 Glenn Fosdick $444,379 SCHEDULE J, PART I, LINE 5 & 6 CONTINGENT COMPENSATION The organization's revenues and net earnings are taken into consideration when calculating executive incentive compensation in addition to other non-financial factors. Executive incentive compensation is determined by several key metrics that are established by The Nebraska Medical Center Board of Directors. These metrics are inclusive of strategic, financial, operational and quality outcomes. On an annual basis, The Nebraska Medical Center Board of Directors reviews achievement of preset targets and approves incentives when warranted. Bonuses related to FY09 performance were paid to the following individuals: Glenn Fosdick $400,000.00 Stephen Smith, MD $255,000.00 Joe Graham $210,000.00 William Dinsmoor $210,000.00 Haysam Akkad, M.D. received a productivity bonus payment of $877,283 based on metrics inclusive of strategic, financial, operational and quality outcomes. Hospital Auth No 2 - Douglas County NE 521440796 259230HT0 2003-12-10 47712290 Refund bonds issued 8/22/1991 false false Hospital Auth No 2 - Douglas County NE 521440796 000000000 2005-10-31 22877453 Hospital facilities and equipment false false Hospital Auth No 2 - Douglas County NE 521440796 000000000 2006-06-15 7988952 Hospital facilities and equipment false false Hospital Auth No 2 - Douglas County NE 521440796 000000000 2007-05-23 10000000 Hospital facilities and equipment false false Hospital Auth No 2 - Douglas County NE 521440796 000000000 2008-05-05 10000000 Hospital facilities and equipment false false 41712290 4171284 834246 3768 1994 true false true true 22877453 22877453 2006 false false true true 7988952 7988952 2007 false false true true 10000000 10000000 2007 false false true true 10000000 10000000 2009 false false true true false false true true true 0.00500 0.00500 true false false true true true 0.00500 0.00500 true false false true true true 0.00500 0.00500 true false false true true true 0.00500 0.00500 true false false true true true 0.00500 0.00500 true false false false false false true false false false false false true false false false false false true false false false false false true false false false false false true BRUCE LAURITZEN BOARD MEMBER PRESIDENT 1ST NATL BANK 254602 SERVICES AND SUPPLIES false BRUCE GREWCOCKMOGENS BAY BOARD ME PRES/DIRECTOR, KIEWIT 10199893 CONSTRUCTION SERVICES false CANEDYPULLINFOSDICKDINSMOOR BOA BOARD MEMBER, SIMPLYWELL 931833 SERVICES, SUPPLIES AND RENTAL false SMITHCANEDYDINSMOORGRAHAMPULLIN NOH BOARD MEMBER 3601331 SALE/LOAN, PURCH SVC & SUPPLY false WILLIAM S DINSMOOR CFO WIFE IS EMPLOYEE 159350 EMPLOYMENT false WILLIAM S DINSMOOR CFO BROTHER IS EMPLOYEE 32566 EMPLOYMENT false LOUIS BURGHER MD COLLEGE PRESIDEN DAUGHTER IS EMPLOYEE 51951 EMPLOYMENT false RANDOLF FERLIC MD BOARD MEMBER DAUGHTER IS EMPLOYEE 136557 EMPLOYMENT false Members Form 990, Part VI, Line 6 The corporation has two members, The Board of Regents of the University of Nebraska ("Board of Regents") and Clarkson Regional Health Services, Inc. ("CRHS") Governing Body Appointment Form 990, Part VI, Line 7a and 7b Board of Regents and CRHS each appoint six members to the Board of Directors Board of Regents and CRHS are required to approve the following decisions made by the Nebraska Medical Center Board of Directors: a)Amendments to the Corporation's Articles of Incorporation & Bylaws b)Amendments to, or declarations of default under, the Joint Operating Agreement ("JOA") c)Merger, liquidation or dissolution of the Corporation d)Retention of respective ownership of all property, plant and equipment, subject to the terms of the lease or management agreement with the Corporation set forth in the JOA e)Disposition of defined Member assets valued in excess of a stated amount f)Additional capital investments in the Corporation not set forth in the JOA g)Capital expenditures by the Members for defined projects relating to the Corporation in excess of a stated amount h)Debt issuance for defined projects unrelated to the Corporation i)Admission of additional participants in the Corporation if such admission is beyond the powers delegated Review of 990 Prior to Filing Form 990, Part VI, Line 11 A copy of the Form 990 was presented to the Audit Committee of the Board of Directors. Instructions were provided to the Board of Directors for accessing the Form 990 online via www.guidestar.org. Monitoring and Enforcement of Board Independence Form 990, Part VI, Line 12c Each member of the Board of Directors, Officers and Key Employees discloses annually that he/she is either an Officer, Director, Member, Owner, Agent or associated in some manner with delineated business entities that either have or might reasonably be expected to have a business relationship with NMC. Each Board Member agrees to make conflicts known and withdraw from participation in deliberations if a subsequent conflict arises. Disclosure statements are distributed annually and monitored by the corporate compliance officer for completion. Any disclosed conflicts are brought to the attention of the Chairman of the Board for Board Members and Officers or to the Officers for Key Employees. Compensation of Officers, Directors and Key Employees Form 990, Part VI, Line 15a & 15b Senior Executive compensation is governed through the by-laws for NMC. In accordance with provisions set forth in the by-laws for NMC, an Executive Compensation Committee is appointed by the Board of Directors. The Board of Directors engages a third party consultant to provide comparable data for review of executive salaries, assess the overall compensation and benefit package and provide advice to the Executive Compensation Committee on compensation and regulatory matters. The Committee reviews the data and recommendations provided by the consultant which is based on competitive assessments with peer organizations and national trends. The following is a brief summary of the consultant's work: Fact Finding: Collect pertinent information about NMC and its executive total compensation programs (salaries, incentive award levels, benefits and prerequisites). Analysis of Total Compensation: Using NMC's existing compensation philosophy as the basis of the study, analyze all elements of the Executive Compensation Program, both individually and in aggregate. Using a proprietary database and published surveys, compare NMC compensation and benefit program and practices to those in its national peer group of organizations similar in size and complexity. Present a Written Report to the Compensation Committee which summarizes: 1)Best practices and regulatory requirements for governing executive pay 2)Competitive analysis of the cash compensation program 3)Competitive analysis of the levels and provisions of the benefit program 4)Opportunities for strengthening the program 5)Recommendations, as appropriate Governing Documents, Conflict of Interest Policy, Financial Statements Form 990, Part VI, Line 19 The governing documents, conflict of interest policy and financial statements are typically not made available to the public. However, if someone comes into the Accounting Department and requests to view the documents, they would be made available to view in the office. BOND ISSUES - Private Business Use Form 990, Schedule K, Part III, Column A Per instructions for this Part III, this part is not to be completed for post-December 31, 2002 bond issues which refund a pre-January 2003 issue. Business and Family Relationships Form 990, Part VI, Line 2 Bruce Grewcock and Mogens Bay have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Mr. Glenn Fosdick, Dr. James Canedy and Mr. Tadd Pullin have a business relationship (through board of directors relationship). Dr. Marlin Stahl and Dr. James Canedy have a business relationship (through board of directors relationship). Mr. Joe Graham, Mr. William Dinsmoor, Dr. Marlin Stahl and Mr. Martin Carmody have a business relationship (through board of directors relationship). Dr. Marlin Stahl, Mr. Glenn Fosdick, Mr. William Dinsmoor, Mr. Joe Graham, and Dr. Steven Smith have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Dr. James Canedy, Mr. Tom Macy, MR. Nat Ponticello, Mr. Joe Graham, Dr. Steve Smith, and Dr. Marlin Stahl have a business relationship (through board of directors relationship). Mr. William Dinsmoor and Dr. James Canedy have a business relationship (through board of directors relationship). OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D NEUROLOGY SERVICE LINE The core services include precise diagnosis and treatment of stroke, movement and memory disorders, multiple sclerosis brain and spinal tumors as well as epilepsy. The Epilepsy Center is the only one of its kind in the region and treats patients from the state of Nebraska and the region. The Corporation has one of few magnetoencephalograph (MEG) scanners and trained MEG scientists in the region. The MEG can detect brain activity in much greater detail and with more accuracy than previous methods and will advance patient care and research opportunities greatly. For the second year in a row, The Corporation has earned the American Heart Association/American Stroke Association's Get With The Guidelines Stroke Gold Plus Achievement Award. Get With The Guidelines is a hospital-based, quality-improvement program designed to ensure hospitals consistently care for cardiac and stroke patients following the most up-to-date guidelines and recommendations. The Corporation also hosts the only young adult stroke support group to address the emotion and physical challenges of recovering from stroke. During fiscal year 2010, the Neurology Service Line incurred over 19,000 cases and almost 13,000 patient days. Approximately 75% of the revenue was derived from inpatient cases. All Other Hospital Services With a history dating back to 1869, The Nebraska Medical Center was formed with the merging of Bishop Clarkson Memorial Hospital and University Hospital and continues to attract patients from the region and around the world. The Corporation is the largest health care facility with more than 4,900 employees and over 1,000 physicians on staff practicing in all major specialties and sub-specialties. Besides several key service areas in cardiology, oncology, transplant and neurology the hospital offers comprehensive care in women's services for obstetrics and gynecology, pediatric services, orthopedics, rheumatology, pulmonary care and has one of the only hyperbaric medicine programs in the region. The Corporation, through its infectious disease program has one of three biocontainment units in the United States equipped to safely care for those exposed to highly contagious, dangerous diseases. The Corporation's Diabetes Center helps care for the growing number of patients who have been diagnosed with Type I and Type II Diabetes. The center is the only one of its kind in the region and combines clinical care, counseling, education and research aimed at finding better ways to prevent and treat diabetes. A multidisciplinary approach to care gives patients access to a variety of specialists in ophthalmology, foot and wound care, vascular disease, neurology and urology. The Diabetes Center is currently applying for Joint Commission certification. If awarded, the center will be one of only 18 diabetes centers nationally recognized by the Joint Commission. During fiscal year 2010, all other hospital services incurred over 296,000 cases and 77,000 patient days. Approximately 66% of the revenue was derived from inpatient cases. Community Hospital Association PO Box 107 405 East Main Street Fairfax MO 644460107 440537826 Acute Care MO 501 (c)(3) Line 4 None Community Healthcare Foundation Inc PO Box 107 405 East Main Street Fairfax MO 644460107 431757553 Financial Sup MO 501(c)(3) Line 4 Com Hosp Asc NHS Clarkson Hospital Service League 988145 Nebraska Medical Center Omaha NE 681988145 476028036 Support TNMC NE 501(c)(3) L11,TypeIII None Clarkson College 101 South 42nd Street Omaha NE 681312739 363649217 College NE 501(c)(3) LINE 2 None Bellevue Med Ctr 2500 BMC Dr BELLEVUE NE 68123 204305186 Acute Care NE None RELATED -5842686 31090785 false 0 false NHS Orthopaedic Services Inc 988145 Nebraska Medical Center Omaha NE 681988145 470845238 Investment Svc NE None C Corp 4432201 13055829 1.00000 Nebraska Health Partners Inc 987400 Nebraska Medical Center Omaha NE 681987400 470816463 Management NE None C Corp 0 0 1.00000 false true true true false false false false true true true false true true false false false false CLARKSON COLLEGE B 2648712 COMMUNITY HOSPITAL ASSOCIATION B 77500 BELLEVUE MEDICAL CENTER D 9444277 BELLEVUE MEDICAL CENTER I 9048661 CLARKSON COLLEGE I 9302739 CLARKSON COLLEGE K 2044098 BELLEVUE MEDICAL CENTER K 1709053