| Form 990, Part III, Line 4d Description of other program services |
(Expenses $ 826,950,668 including grants of $ 107,002,097)(Revenue $ 698,164,657) All Other Hospital Services WITH A HISTORY DATING BACK TO 1869, TNMC WAS FORMED WITH THE MERGING OF BISHOP CLARKSON MEMORIAL HOSPITAL AND UNIVERSITY HOSPITAL. IN JULY 2016, UNMC PHYSICIANS OUTPATIENT CLINICS BECAME PART OF THE ORGANIZATION. TNMC CONTINUES TO ATTRACT PATIENTS FROM THE REGION AND AROUND THE WORLD. TNMC IS A TERTIARY/QUATERNARY ACADEMIC MEDICAL CENTER. IT IS THE LARGEST HEALTH CARE FACILITY IN THE STATE WITH MORE THAN 10,000 EMPLOYEES AND OVER 700 PHYSICIANS PRACTICING IN ALL MAJOR SPECIALTIES AND SUB-SPECIALTIES. IN ADDTION TO KEY SERVICES IN CARDIOLOGY, ONCOLOGY, TRANSPLANT AND NEUROLOGY, TNMC OFFERS COMPREHENSIVE CARE IN WOMEN'S SERVICES FOR OBSTETRICS AND GYNECOLOGY, AS WELL AS PEDIATRIC SERVICES, ORTHOPEDICS, RHEUMATOLOGY, AND PULMONARY CARE. IN ADDITION, TNMC HAS ONE OF THE REGION'S LARGEST HYPERBARIC MEDICINE PROGRAMS. TNMC IS THE MOST ESTEEMED ACADEMIC HEALTH SYSTEMS IN THE REGION, WITH 809 LICENSED BEDS AT ITS TWO HOSPITALS, NEBRASKA MEDICAL CENTER AND BELLEVUE MEDICAL CENTER. TNMC ALSO OPERATES 40 SPECIALTY AND PRIMARY CARE CLINICS IN OMAHA AND SURROUNDING AREAS. TNMC HAS ONE OF THE FEW BIOCONTAINMENT UNITS IN THE UNITED STATES EQUIPPED TO SAFELY CARE FOR PEOPLE EXPOSED TO HIGHLY CONTAGIOUS, DANGEROUS DISEASES. IN 2014, THE NEBRASKA BIOCONTAINMENT UNIT WAS ACTIVATED TO PROVIDE CARE FOR THREE AMERICANS WHO CONTRACTED THE EBOLA VIRUS DURING THE WEST AFRICA OUTBREAK. THIS RESPONSE RESULTED IN TNMC AND UNMC BECOMING ONE OF THREE DESIGNATED EBOLA TREATMENT AND EDUCATION CENTERS IN THE UNITED STATES. THROUGHOUT THE LAST DECADE, BIOCONTAINMENT UNIT STAFF HAVE CONTINUED TO EDUCATE PUBLIC HEALTH AND INFECTIOUS DISEASE TEAMS FROM AROUND THE WORLD ABOUT SAFE PROTOCOLS AND RESPONSES TO INFECTIOUS DISEASES, MOST RECENTLY COVID-19. TNMC WAS ONE OF THE FIRST TO CARE FOR EXPOSED AND INFECTED AMERICANS IN EARLY 2020 AND CONTINUES TO BE A WORLD LEADER IN TREATING AND MITIGATING THE VIRUS MORE THAN TWO YEARS INTO THE PANDEMIC. THE ORGANIZATION CONTINUES TO STRIVE TOWARD ITS MISSION TO LEAD THE WORLD IN TRANSFORMING LIVES TO CREATE A HEALTHY FUTURE FOR ALL INDIVIDUALS AND COMMUNITIES THROUGH PREMIER EDUCATIONAL PROGRAMS, INNOVATIVE RESEARCH AND EXTRAORDINARY PATIENT CARE. THIS WAS DEMONSTRATED THROUGH A VARIETY OF ACTIVITIES THROUGHOUT FY22 AS WELL AS THE HEALTH SYSTEM MAINTAINING ITS ROLE AS A LOCAL, REGIONAL AND NATIONAL LEADER IN THE RESPONSE TO THE COVID-19 PANDEMIC. THE FOLLOWING EFFORTS CONTINUED AS A RESULT OF THE COVID-19 PANDEMIC: * INPATIENT AND OUTPATIENT CLINICAL CARE FOR PATIENTS AFFECTED BY COVID-19 * UNIVERSAL MASKING AND PERSONAL PROTECTIVE EQUIPMENT POLICIES FOR STAFF AND PATIENTS * CONTINUED TO REQUIRE COVID-19 VACCINATION FOR STAFF * CONDUCTED OUTREACH AND PROVIDED MONOCLONAL ANTIBODY INFUSIONS TO PATIENTS INFECTED WITH COVID-19 AT HIGHEST RISK OF SERIOUS DISEASE OR COMPLICATIONS * UTILIIZATION OF E-VISITS AND VIDEO VISITS THROUGH AN ONLINE PATIENT PORTAL AND PATIENT-FACING MOBILE APP. ALLOWED FOR INCREASED ACCESS AND INCLUDES PRIMARY, SPECIALTY AND IMMEDIATE CARE APPOINTMENTS * CREATION OF TRAINING MATERIALS THROUGH THE GLOBAL CENTER FOR HEALTH SECURITY * PROVIDED TRAINING AND EDUCATION FOR HEALTH CARE WORKERS THROUGH NATIONAL EMERGING SPECIAL PATHOGENS TRAINING AND EDUCATION (NETEC) * CONDUCTED AND PARTICIPATED IN CLINICAL TRIALS * SERVED AS A COMMUNITY AND NATIONAL EXPERT THROUGH NEWS AND SOCIAL MEDIA, AND COMMUNITY OUTREACH ADDITIONAL HIGHLIGHTS FROM THE YEAR INCLUDED * ACQUIRED HEARTLAND HEMATOLOGY & ONCOLOGY IN KEARNEY, NEBRASKA. * BEGAN CONSTRUCTION OF PHARMACY HUB IN OMAHA TO IMPROVE EFFICIENCY OF DISTRIBUTION OF PRESCRIPTIONS TO NEBRASKA MEDICINE'S RETAIL PHARMACY LOCATIONS * EXPANSION OF THE OFFICE OF INCLUSION AND DIVERSITY, HIRING NEW DEPARTMENT STAFF AND EXPANDING THE NUMBER AND SCOPE OF EMPLOYEE RESOURCE GROUPS * CONTINUING CONSTRUCTION OF CLINICAL FACILITIES AT VILLAGE POINTE HEALTH CENTER IN WEST OMAHA, INCREASING SERVICES AND ACCESS FOR PATIENTS * EXPANSION OF FAST PASS PROGRAM, WHICH ALLOWS PATIENTS TO BE NOTIFIED OF APPOINTMENT CANCELLATIONS AND BE SEEN BY PROVIDERS AS OPENINGS ARE AVAILABLE * CONSTRUCTION AND ONGOING DESIGN FOR INNOVATION DESIGN UNIT, A PATIENT CARE UNIT THAT WILL BE USED TO PILOT INNOVATIVE CARE DELIVERY AND TECHNOLOGY IN FY22, NEBRASKA MEDICAL CENTER EARNED THE FOLLOWING: * NAMED BEST HOSPITAL IN NEBRASKA BY U.S. NEWS AND WORLD REPORT FOR THE 11TH CONSECUTIVE YEAR * NAMED ONE OF THE TOP TEN TRUSTED HEALTH SYSTEMS BY THE AMERICAN HOSPTIAL ASSOCIATION * NAMED AS ONE OF NEWSWEEK'S WORLD'S BEST HOSPITALS 2022 * NAMED AS ONE OF NEWSWEEK'S BEST MATERNITY HOSPITALS 2022 * NAMED AS ONE OF NEWSWEEK'S BEST SMART HOSPTIALS 2022 * RECOGNIZED BY FORBES AS ONE OF THE TOP TEN BEST EMPLOYERS IN NEBRSAKA FOR THE FOURTH CONSECUTIVE YEAR * TRAINING MAGAZINE'S TOP 100 COMPANIES FOR TRAINING PROGRAMS AWARD |
| Form 990, Part III, Line 4d Description of other program services |
(Expenses $ 156,336,713 including grants of $ 34,647,457)(Revenue $ 178,483,780) Digestive Disease and Kidney Service Line The Nebraska Medical Center (TNMC) operates one of the busiest solid organ transplant programs in the world. In 2016, TNMC joined a small number of transplant centers which have programs for transplants of all solid organs. TNMC's lung transplant program did its first transplant in February 2016, and 13 lung transplants were performed during 2022. In the year ended June 30, 2022, TNMC performed 295 solid organ transplants including liver, kidney, heart, lung, pancreas, and small bowel. The success of TNMC's solid organ transplant program is heightened by research done on the TNMC/University of Nebraska Medical Center (UNMC) campuses. Since its inception, patients have come to TNMC for single or multiple organ transplants from all fifty states and five continents. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons |
Mr. Bruce Grewcock and Mr. Mogens Bay - Business relationship, Dr. James Linder and Mr. Brian Lancaster - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders |
NEBRASKA MEDICINE IS THE SOLE MEMBER OF TNMC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body |
EFFECTIVE 2017, TNMC HAS ONE MEMBER, NEBRASKA MEDICINE, A NONPROFIT ORGANIZATION THAT HAS BEEN RECOGNIZED AS EXEMPT FROM TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TNMC'S BYLAWS PROVIDE THAT THE MEMBERS OF TNMC'S BOARD OF DIRECTORS SHALL BE THE SAME PERSONS WHO SERVE AS MEMBERS OF THE BOARD OF NEBRASKA MEDICINE. THE TNMC BOARD IS COMPRISED OF 15 DIRECTORS, SPECIFICALLY 11 VOTING DIRECTORS AND 4 EX-OFFICIO NON-VOTING DIRECTORS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders |
THE FOLLOWING POWERS ARE RESERVED TO TNMC'S SOLE MEMBER, NEBRASKA MEDICINE: - AMENDMENT TO TNMC'S ARTICLES OF INCORPORATION; - A MERGER OR CONSOLIDATION OF TNMC WITH OR INTO ANY OTHER ENTITY; - SALE, TRANSFER, LEASE, DISPOSITION, OR CHANGE IN USE OF (A) MORE THAN 50% OF THE ASSETS OF THE CLINICAL OPERATIONS OF TNMC; OR (B) SUCH OTHER ASSETS AS THE TNMC BOARD DESIGNATES; - ENTRY INTO A JOINT OPERATING AGREEMENT, INTEGRATION AGREEMENT, OR SIMILAR AGREEMENT, OR AMENDMENT TO ANY EXISTING SIMILAR AGREEMENT; - ISSUANCE OR INCURRENCE OF INDEBTEDNESS RESULTING IN A DEBT/EQUITY RATIO IN EXCESS OF 40% OR A DEBT COVERAGE RATIO LESS THAN 1.25; - LIQUIDATION OR DISSOLUTION OF TNMC; - ADMISSION OF ONE OR MORE ADDITIONAL MEMBERS OF TNMC; - ENTRY INTO ANY AFFILIATIONS THAT WOULD CHANGE THE SIZE OF THE BOARD, A CHANGE TO THE QUORUM REQUIREMENTS, OR CHANGE IN THE SUPERMAJORITY VOTING REQUIREMENTS; - APPROVAL OF ANY AMENDMENT TO THE BYLAWS; OR - A GIFT, PLEDGE, DONATION, OR GRANT IN EXCESS OF ONE MILLION DOLLARS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body |
A COPY OF THE FORM 990 WAS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, THE BOARD OF DIRECTORS WERE PROVIDED A COPY OF THE FORM 990 TO REVIEW ON THE SECURED BOARD PORTAL CALLED BOARD EFFECT BEFORE IT WAS FILED. |
| Form 990, Part VI, Line 12c Conflict of interest policy |
MONITORING AND ENFORCEMENT OF BOARD INDEPENDENCE 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 TNMC. 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. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official |
The executive and physician compensation committee of The Nebraska Medical Center's Board of Directors is comprised of a chair (appointed by the Board of Directors), a vice chair, and not less than two (2) additional directors from the board, all of whom are determined by the board to be independent from the University of Nebraska Medical Center and Nebraska Medicine, which includes UNMC Physicians and the Nebraska Medical Center. The compensation committee is responsible for overseeing the performance and compensation of the CEO, assessing the appropriateness and reasonableness of the executive compensation and benefit programs, and monitoring compensation programs with senior executives and physicians to confirm compliance with regulations and business need. The committee reviews all proposed compensation for senior executives and physicians, including the CEO. 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. This data is compared to similarly situated AAMC organizations of comparable revenue. The executive compensation data is provided by an independent compensation consulting firm hired by the committee, and this firm reports directly to the committee. The committee ensures that its review and approval qualify for the rebuttable presumption of reasonableness under the intermediate sanction's regulations (26 C.F.R. 53.4958-6, as amended). To ensure such compliance, the committee: 1. Ensures committee members are free from any relationships or conflicts of interest that may impair, or appear to impair, a committee member's ability to make independent judgements; 2. Receives and relies upon appropriate data as to comparability from internal or external resources prior to making its determination; and 3. Documents the basis for its determination of reasonableness concurrently with making that determination. Such documentation includes: A) The terms of the arrangement that was approved and the date it was approved; B) The members of the 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 committee and how such material was obtained; and D) The action(s) taken by the committee. All compensation and benefits for the CEO are reviewed and recommended by the committee to the Board of Directors for final approval. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees |
The executive and physician compensation committee of The Nebraska Medical Center's Board of Directors is comprised of a chair (appointed by the Board of Directors), a vice chair, and not less than two (2) additional directors from the board, all of whom are determined by the board to be independent from the University of Nebraska Medical Center and Nebraska Medicine, which includes UNMC Physicians and the Nebraska Medical Center. The compensation committee is responsible for assessing the appropriateness and reasonableness of the executive compensation and benefit programs and monitoring compensation programs with senior executives and physicians to confirm compliance with regulations and business need. The committee reviews all proposed compensation for senior executives and physicians. 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. This data is compared to similarly situated AAMC organizations of comparable revenue. The executive compensation data is provided by an independent compensation consulting firm hired by the committee, and this firm reports directly to the committee. The committee ensures that its review and approval qualify for the rebuttable presumption of reasonableness under the intermediate sanction's regulations (26 C.F.R. 53.4958-6, as amended). To ensure such compliance, the committee: 1. Ensures committee members are free from any relationships or conflicts of interest that may impair, or appear to impair, a committee member's ability to make independent judgements; 2. Receives and relies upon appropriate data as to comparability from internal or external resources prior to making its determination; and 3. Documents the basis for its determination of reasonableness concurrently with making that determination. Such documentation includes: A) The terms of the arrangement that was approved and the date it was approved; B) The members of the 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 committee and how such material was obtained; and D) The action(s) taken by the committee. |
| Form 990, Part VI, Line 19 Required documents available to the public |
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. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue |
All Other - Total Revenue: XXX-XX-XXXX, Related or Exempt Function Revenue: XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue |
All Other Revenue - Total Revenue: 24499979, Related or Exempt Function Revenue: 23056571, Unrelated Business Revenue: 1443408, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances |
Investment in Clarkson College - 4649608; Net Assets Released - -1665847; Equity Change - -234453; Other - 44712; |
Attach to Form 990 or 990-EZ.