| Form 990, Part III, Line 4d |
DIGESTIVE DISEASE AND KIDNEY SERVICE LINE THE CORPORATION OPERATES ONE OF THE BUSIEST SOLID ORGAN TRANSPLANT PROGRAMS IN THE WORLD. IN 2016, NEBRASKA MEDICAL CENTER JOINED A SMALL NUMBER OF TRANSPLANT CENTERS WHICH HAVE PROGRAMS FOR TRANSPLANTS OF ALL SOLID ORGANS. THE CENTER'S NEW LUNG TRANSPLANT PROGRAM DID ITS FIRST TRANSPLANT IN FEBRUARY OF 2016 AND PERFORMED 12 LUNG TRANSPLANTS DURING 2017. IN THE YEAR ENDED JUNE 30, 2017, THE CORPORATION PERFORMED 269 SOLID ORGAN TRANSPLANTS INCLUDING LIVER, KIDNEY, HEART, LUNG, PANCREAS AND SMALL BOWEL. THE SUCCESS OF THE CORPORATION'S SOLID ORGAN TRANSPLANT PROGRAM IS HEIGHTENED BY RESEARCH DONE ON THE CORPORATION/UNMC CAMPUS. SINCE ITS INCEPTION, PATIENTS HAVE COME TO THE NEBRASKA MEDICAL CORPORATION FOR SINGLE-OR-MULTIPLE-ORGAN TRANSPLANT FROM ALL 50 STATES AND FIVE CONTINENTS. DURING FISCAL YEAR 2017, THE SOLID ORGAN TRANSPLANTATION SERVICE LINE INCURRED OVER 61,225 CASES AND 25,435 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 (TNMC) WAS FORMED WITH THE MERGING OF BISHOP CLARKSON MEMORIAL HOSPITAL AND UNIVERSITY HOSPITAL, AND 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. THE CORPORATION IS THE LARGEST HEALTH CARE FACILITY IN THE STATE WITH MORE THAN 8,000 EMPLOYEES AND OVER 900 PHYSICIANS PRACTICING IN ALL MAJOR SPECIALTIES AND SUB-SPECIALTIES. BESIDES SEVERAL KEY SERVICES IN CARDIOLOGY, ONCOLOGY, TRANSPLANT AND NEUROLOGY, THE HOSPITAL OFFERS COMPREHENSIVE CARE IN WOMEN'S SERVICES FOR OBSTETRICS AND GYNECOLOGY, AS WELL AS PEDIATRIC SERVICES, ORTHOPEDICS, RHEUMATOLOGY, AND PULMONARY CARE. IN ADDITION, THE CORPORATION HAS ONE OF THE REGION'S LARGEST HYPERBARIC MEDICINE PROGRAMS. NEBRASKA MEDICINE IS THE MOST ESTEEMED ACADEMIC HEALTH SYSTEM IN THE REGION, WITH 809 LICENSED BEDS AT ITS TWO HOSPITALS, NEBRASKA MEDICINE - NEBRASKA MEDICAL CENTER, AND NEBRASKA MEDICINE - BELLEVUE. NEBRASKA MEDICINE ALSO OPERATES 40 SPECIALTY AND PRIMARY CARE CLINICS IN OMAHA AND SURROUNDING AREAS. IN FYE 2017, NEBRASKA MEDICINE AND ITS ACADEMIC PARTNER, UNIVERSITY OF NEBRASKA MEDICAL CENTER (UNMC), JOINTLY OPENED THE FRED & PAMELA BUFFETT CANCER CENTER. THE $323 MILLION FACILITY IS ONE OF 27 MEMBERS OF THE NATIONAL COMPREHENSIVE CANCER NETWORK, THE ORGANIZATION WHICH HELPS DEVELOP THE GUIDELINES FOR CANCER TREATMENT NATIONWIDE. WHILE ALL FORMS OF CANCER ARE TREATED AT THE BUFFETT CANCER CENTER, BECAUSE OF THEIR PREVALENCE IN SOCIETY AND THE CENTER'S POTENTIAL TO HAVE A SIGNIFICANT IMPACT IN THEIR TREATMENT, SEVERAL TYPES OF CANCER ARE FOCUSED UPON. THOSE INCLUDE, BREAST AND OTHER WOMENS CANCER, HEAD AND NECK CANCERS, LEUKEMIA AND LYMPHOMA, LUNG CANCER, PANCREATIC AND GASTROINTESTINAL CANCERS AND PROSTATE CANCER. TNMC ALSO HAS ONE OF THE FEW BIOCONTAINMENT UNITS IN THE UNITED STATES EQUIPPED TO SAFELY CARE FOR THOSE EXPOSED TO HIGHLY CONTAGIOUS, DANGEROUS DISEASES. IN SEPTEMBER, OCTOBER, AND NOVEMBER OF 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. 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. IN 2019, NEBRASKA MEDICINE AND UNMC WILL OPEN THE NATIONAL CENTER FOR HEALTH SECURITY AND BIOPREPAREDNESS, AS A PART OF THE DAVIS GLOBAL CENTER FOR ADVANCED INTERPROFESSIONAL LEARNING. THIS CENTER WILL BE THE NEXT STEP IN PROVIDING TRAINING ON HOW TO HANDLE HIGHLY INFECTIOUS DISEASES, ALONG WITH A QUARANTINE FACILITY FOR THOSE POSSIBLY INFECTED BY SUCH DISEASES. TNMC ALSO FURTHER SOLIDIFIED ITS ROLE AS A REGIONAL LEADER IN TRAUMA CARE WITH THE ESTABLISHMENT OF ITS 24/7 TRAUMA PROGRAM IN AUGUST OF 2014. IN FYE 2017, TNMC BECAME VERIFIED AS A LEVEL I TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS, EARNING THE GOLD STANDARD FOR TRAUMA CARE NATIONWIDE. ITS DIABETES CENTER IS A RECOGNIZED EDUCATION PROGRAM BY THE AMERICAN DIABETES ASSOCIATION AND HAS EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ADVANCED INPATIENT DIABETES CARE. IN 2016, TNMC OPENED THE LAURITZEN OUTPATIENT CENTER ON ITS CAMPUS. THE CENTER PROVIDES ADDITIONAL SPACE FOR CLINCIAL, RESEARCH AND EDUCATIONAL AREAS. THE FRITCH SURGERY CENTER, AS PART OF THIS NEW BUILDING, PROVIDES OUTPATIENT SURGERY PROCEDURES. |
| Form 990, Part VI, Line 2 |
BUSINESS AND FAMILY RELATIONSHIPS MR. BRUCE GREWCOCK AND MR. MOGENS BAY HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP). MR. WILLIAM DINSMOOR AND DR. JAMES T. CANEDY HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, SIMPLYWELL). DR. JAMES T. CANEDY, MS. STEPHANIE DAUBERT AND MR. LOUIS BURGHER HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON REGIONAL HEALTH SERVICES). MR. WILLIAM DINSMOOR, DR. JAMES T. CANEDY, MR. THOMAS MACY, AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH PARTNERS). MR. WILLIAM DINSMOOR, MS. ROSANNA MORRIS AND DR. JAMES T. CANEDY HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, CLARKSON COLLEGE). MR. WILLIAM DINSMOOR, DR. JAMES T. CANEDY, MS. ROSANNA MORRIS, MR. BRAD BRITIGAN AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH NETWORK). MR. TADD PULLIN AND MS. STEPHANIE DAUBERT HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA ORTHOPAEDIC HOSPITAL). DR. JAMES T. CANEDY, MR. TADD PULLIN, AND MR. WILLIAM DINSMOOR HAVE A BUSINESS RELATIONSHIP (THROUGH BOARD OF DIRECTORS RELATIONSHIP, PARAMOUNT GROUP, LLC). |
| Form 990, Part VI, Line 4 |
Since its establishment, the Board or Regents of the University of Nebraska (BOR) and Clarkson Regional Health Services, Inc., (CRHS) controlled The Nebraska Medical Center (TNMC) as its members. CRHS is recognized as exempt from tax under section 501(c)(3) of the Internal Revenue Code (IRC). The BOR is a publicly-funded university. Effective July 1, 2016, TNMC, along with UNMCP, BOR, CRHS, and a newly created entity, Nebraska Medicine, entered into a System Integration Agreement (SIA). Under the SIA, Nebraska Medicine, upon its recognition of exemption under IRC section 501(c)(3) by the IRS, would act as the parent organization to TNMC and UNMCP. As part of TNMCs gradual transition to the Nebraska Medicine System from the BOR/CRHS system, TNMCs articles of incorporation and bylaws were significantly amended to provide the following: 1. Deleted all reference to the Joint Operating Agreement between Bishop Clarkson Memorial Hospital and the BOR 2. The members are reserved enumerated powers, one of which is to issue or incur indebtedness based on a Debt/Equity calculation which is defined in the articles 3. The board composition was amended to provide for 15 individuals, 11 voting and 4 nonvoting, at least 4, but less than a majority, of the directors whom must be physicians. 4. Four members of the board, two appointed by BOR and two appointed by CRHS, shall comprise the nominating committee. They will nominate candidates for TNMCs board. Nominees must have the affirmative vote of both members to be elected to sit on TNMCs board. 5. Ex officio nonvoting directors shall include (1) CEO of TNMC, (2) Dean of the College of Medicine of the University of Nebraska Medical Center, (3) Chief of Staff of TNMC Medical Staff and (4) Chief Nursing Officer of TNMC. 6. The Chancellor of the BORs University of Nebraska Medical Center is designated as ex-officio voting Director. 7. Upon the anticipated change to Nebraska Medicine as the sole member, the board members of TNMC WILL REMAIN THE SAME. |
| Form 990, Part VI, Line 6 |
MEMBERS THE CORPORATION HAS TWO MEMBERS, THE BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA (BOR) AND CLARKSON REGIONAL HEALTH SERVICES, INC. (CRHS) |
| Form 990, Part VI, Line 7a & 7b |
TNMC has two members, BOR, a public university, and CRHS a nonprofit organization that has been recognized as exempt from tax under section 501(c)(3) of the Internal Revenue Code. The members have the power to appoint all the voting directors of TNMCs governing body in accordance with revised by-laws effective on July 1, 2016. In addition, a number of other nonvoting board members are appointed ex officio. The appointment process is as follows: - The board will initially consist of 11 voting directors and 4 nonvoting directors. The members, BOR and CRHS, can agree to increase or decrease the number of board members. - The nonvoting directors include the CEO of TNMC, the Dean of the College of Medicine of the BOR, the Chief of Staff of TNMCs Medical Staff, and the TNMC Chief Nursing Officer - At least 4 of the directors, but less than 50% of the voting directors, must be physicians. - The Chancellor of the BOR Medical Center shall be an ex officio voting director. The remaining 10 voting members were appointed by the members upon the adoption of the amended articles - Upon any vacancy occurring on the board, or upon the expiration of a board members term, a nominating committee, consisting of two persons appointed by each member, identifies and confidentially presents to each member the recommendations. Both members must approve a nominee to constitute an appointment. - Board members shall serve 4 year terms, with appointments staggered every two years. FORM 990, PART VI, LINE 9 ROSANNA MORRIS, MBA, BSN, NE-BC PRESIDENT BEAUMONT HOSPITAL, ROYAL OAKS 3601 W 13 MILE ROAD ROYAL OAK, MI 48073 |
| Form 990, Part VI, Line 11b |
REVIEW OF 990 PRIOR TO FILING 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 |
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 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. |
| Form 990, Part VI, Line 15a & 15b |
POLICIES - COMPENSATION THE EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE OF THE TNMC 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 APPOPRIATENESS 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 PHYSICIANS AND SENIOR EXECUTIVES 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. SUCH 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 ARE REPORTED DIRECTLY TO THE COMMITTEE. THE COMMITTEE ENSURES 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 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 JUDGMENTS; 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 |
PUBLIC DISCLOSURE OF DOCUMENTS 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 XI, Line 9 |
RECONCILIATION OF NET ASSETS CHANGE IN PENSION ACCOUNTS $5,663,611 NET ASSETS RELEASED ($1,100,553) OTHER $1,749 ------------ TOTAL $4,564,807 |
Attach to Form 990 or 990-EZ.