TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Joe Graham Chief Operating Officer	55.0	X				705,363	130,134
(19) Rosanna Morris Chief Nursing Officer	55.0	X				534,430	93,330
(20) Randall J Hallett Exec Dir -Development	55.0		X			293,052	25,047
(21) Louis Burgher MD Clarkson College President	55.0		X			294,453	6,437
(22) Thomas Macy Nebraska Orthopaedic Hosp CEO	55.0		X			228,045	32,486
(23) Natale Ponticello VP Human Resources	55.0		X			287,851	30,531
(24) Tadd Pullin VP Marketing and Planning	55.0		X			366,489	32,632
(25) Cynthia Owen VP Corporate Affairs	55.0		X			260,711	24,779
(26) Lianne Stevens VP Information Technology	55.0		X			204,893	30,027
(27) Theresa Franco Exec Dir Cancer Care	55.0		X			257,922	29,917
(28) Deborah Istas Exec Dir Neuro Sciences	55.0		X			248,796	25,940
(29) Jorge Parodi Exec Dir Cardio/Pulmonary	55.0		X			256,603	31,816
(30) Ruta Davidson BMC CEO	55.0		X			242,111	25,014
(31) Michael Powell Exec Dir Pharmacy	55.0		X			203,067	33,763
(32) Charles Lakso Exec Dir Radiology/Lab	55.0		X			207,458	23,123
(33) Edwin Dickinsen Exec Dir Perioperative	55.0		X			187,433	15,924
(34) Lisa McClane Exec Dir Women/Children	55.0		X			184,123	13,043
(35) Connie Ogden Exec Dir Adult Acute Care	55.0		X			172,943	18,691
(36) David S Fuller Chief Process Officer	55.0		X			225,071	28,161
(37) Deepak Madhavan MD Physician	55.0			X		243,832	21,500
(38) Marcel Devetten MD Physician	55.0			X		268,389	22,826
(39) Antonio Reyes MD Physician	55.0			X		267,956	29,071
(40) Michael D Johnson MD Physician, Surgery	55.0			X		283,771	10,780
(41) Martin Carmody Former Bellevue Med Center CEO	55.0				X	307,240	20,846

(A) Name and business address	(B) Description of services	(C) Compensation
UNMC PHYSICIANS 988101 NE MED CTR OMAHA,NE681988101	MEDICAL SERVICES	16,732,730
KIEWIT BUILDING GROUP 3921 MASON ST OMAHA,NE68105	CONSTRUCTION	7,483,939
CARDINAL HEALTH 5840 F STREET OMAHA,NE68117	MANAGEMENT FEE	7,393,154
UNMC 984290 NE MED CTR OMAHA,NE681984290	MEDICAL SERVICES	15,952,791
EPIC Systems Corporation 1979 Milky Way VERONA,WI53593	IT SERVICES/EHR	4,518,487
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 135

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	68,777,047	68,777,047
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	45,676,864	45,676,864
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	8,906,522	8,581,846		324,676
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	243,398,490	243,045,143		353,347
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	18,460,724	18,431,370		29,354
9	Other employee benefits .......	22,933,546	22,914,008		19,538
10	Payroll taxes ...........	17,306,023	17,270,019		36,004
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	803,617		803,617
c	Accounting ...........	839,868		839,868
d	Lobbying ...........	61,121	61,121
e	Professional fundraising. See Part IV, line 17..	70,742			70,742
f	Investment management fees ......	304,695	304,695
g	Other ..........	49,818,365	49,739,459		78,906
12	Advertising and promotion ....	3,695,194	3,695,194
13	Office expenses .......	5,163,686	5,115,293		48,393
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	5,845,003	5,845,003
17	Travel ............	836,373	817,458		18,915
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	440,949	436,469		4,480
20	Interest ...........	2,544,711	2,544,711
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	42,101,344	42,092,367		8,977
23	Insurance ..............	4,962,192	4,962,192
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	MEDICAL AND CLINICAL EXPENSE	152,233,497	152,233,448		49
b	BAD DEBT EXPENSE	48,379,658	48,379,658
c	OTHER UNMC/UNMC-P	10,691,356	10,691,148		208
d	MAINTENANCE/GROUNDS UPKEEP	17,774,389	17,739,176		35,213
e
f	All other expenses	30,642,159	30,435,029		207,130
25	Total functional expenses. Add lines 1 through 24f	802,668,135	799,788,718	1,643,485	1,235,932
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	23,239,179	1	41,697,888
2	Savings and temporary cash investments .......	183,084,543	2	185,577,791
3	Pledges and grants receivable, net .........	612,000	3	410,396
4	Accounts receivable, net .........	106,014,314	4	101,354,366
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........	0	6	0
7	Notes and loans receivable, net .............	3,730,695	7	3,085,245
8	Inventories for sale or use ..............	3,895,068	8	4,232,728
9	Prepaid expenses and deferred charges ............	5,415,658	9	9,157,216
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	826,620,006
b	Less: accumulated depreciation. .....	10b	460,181,918	337,355,555	10c	366,438,088
11	Investments—publicly traded securities ..........	46,132,731	11	47,532,017
12	Investments—other securities. See Part IV, line 11 ......	9,450,811	12	9,053,596
13	Investments—program-related. See Part IV, line 11 ..	0	13	0
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	32,200,678	15	28,635,103
16	Total assets. Add lines 1 through 15 (must equal line 34)...	751,131,232	16	797,174,434
	17	Accounts payable and accrued expenses .	101,599,446	17	115,099,905
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	53,843,114	20	67,544,073
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	7,863,256	23	15,031,181
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	46,061,517	25	45,014,387
26	Total liabilities. Add lines 17 through 25.....	209,367,333	26	242,689,546
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	532,051,096	27	543,173,579
28	Temporarily restricted net assets .....	8,633,836	28	9,692,282
29	Permanently restricted net assets .....	1,078,967	29	1,619,027
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	541,763,899	33	554,484,888
34	Total liabilities and net assets/fund balances .....	751,131,232	34	797,174,434

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization THE NEBRASKA MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization THE NEBRASKA MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

61,121

Total. Add lines 1c through 1i ...............................

61,121

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
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 (Law Firm) for lobbying.

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

$ 630,351

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back
1a	Beginning of year balance ....	9,728,658	15,906,146	14,503,430	14,479,431
b	Contributions ........	2,441,330	-3,167,621	1,477,127	1,306,796
c	Net investment earnings, gains, and losses ...	111,526	274,128	356,880	159,785
d	Grants or scholarships .....			0	0
e	Other expenditures for facilities and programs ........	956,905	3,283,996	431,291	1,442,582
f	Administrative expenses ....
g	End of year balance ......	11,324,609	9,728,657	15,906,146	14,503,430

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

14.000 %

Temporarily restricted endowment SchDMd Bullet

86.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	12,337,152		12,337,152
b	Buildings ................	170,860,549	89,324,156	81,536,393
c	Leasehold improvements ............	5,464,537	2,043,714	3,420,823
d	Equipment ................	633,773,841	364,702,388	269,071,453
e	Other .................	4,183,927	4,111,660	72,267
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				366,438,088

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
OTHER LONG TERM LIABILITIES		10,829,138
DUE TO AFFILIATES		18,970,975
EST. THIRD PARTY PAYOR SETTLEMENT		15,214,274






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		45,014,387
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8
9	Total adjustments (net). Add lines 4 through 8 .........................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
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, 2012 OR 2011.

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ..............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for region/investments in region
	North America	0	0	Program Services	Promote Medical Care	878
	Sub-Saharan Africa	0	0	Program Services	Promote Medical Care	3,653
	South Asia	0	0	Program Services	Promote Medical Care	18,981
	Middle East and North Africa	0	0	Program Services	Promote Medical Care	19,204













3a	Sub-total .....	0	0			42,716
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0			42,716

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011

Schedule F (Form 990) 2011

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2011

Schedule F (Form 990) 2011Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2011

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2011

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation
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.

Schedule F (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Bethany Ochsner	Grant Writing		No	248,350	30,157	218,193
Cheryl Sacco	Grant Writing		No		6,367
Gobel Philanthropy Chad Gobel	Consultant		No		34,218
Total .................				248,350	70,742	218,193

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2011

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 Polo (event type)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	528,596	528,596
2	Less: Charitable contributions . . .	483,468	483,468
3	Gross income (line 1 minus line 2) . . .	45,128	45,128
4	Cash prizes . . .
5	Non-cash prizes . .	2,868	2,868
6	Rent/facility costs . .	123,987	123,987
7	Food and beverages . .	32,209	32,209
8	Entertainment . . .	29,608	29,608
9	Other direct expenses .	43,552	43,552
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		232,224
11	Net income summary. Combine lines 3 and 10 in column (d)............		-187,096

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Schedule G (Form 990 or 990-EZ) 2011

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..		6,395	14,673,046	0	14,673,046	1.840 %
b Medicaid (from Worksheet 3, column a) .....		59,280	108,135,684	79,374,842	28,760,841	3.600 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .		1,504	2,091,297	1,336,958	754,340	0.090 %
dTotal Financial Assistance and Means-Tested Government Programs .....		67,179	124,900,027	80,711,800	44,188,227	5.530 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	14	126,261	377,327	0	377,327	0.050 %
f Health professions education (from Worksheet 5) ..	6	633	12,611,472	7,993,563	4,617,909	0.580 %
g Subsidized health services (from Worksheet 6) ..	5		27,759,836	23,966,087	3,793,749	0.470 %
h Research (from Worksheet 7)	1		4,450,744	2,204,337	2,246,407	0.280 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	9		53,892,991	29,325	53,863,666	6.740 %
jTotal Other Benefits ...	35	126,894	99,092,370	34,193,312	64,899,058	8.120 %
kTotal. Add lines 7d and 7j. ..	35	194,073	223,992,397	114,905,112	109,087,285	13.650 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			0	0	0
2	Economic development	1		25,000	0	25,000
3	Community support	1		235,144	32,000	203,144	0.030 %
4	Environmental improvements			0	0	0
5	Leadership development and training for community members			0	0	0
6	Coalition building			0	0	0
7	Community health improvement advocacy			0	0	0
8	Workforce development	3	400	393,112	192,000	201,112	0.030 %
9	Other			0	0	0
10	Total	5	400	653,256	224,000	429,256	0.060 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

20,215,666

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

158,862,736

Enter Medicare allowable costs of care relating to payments on line 5.....

179,966,162

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-21,103,426

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1NEB ORTHO HOSPITAL	ORTHOPEDIC HOSPITAL	0 %	0 %	42.440 %
2BELLEVUE MEDICAL CTR	Acute Care Hospital	67.730 %	0 %	10.630 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	The Nebraska Medical Center 987400 Nebraska Medical Center Omaha,NE681987400	X	X	X	X
2	Bellevue Medical Center LLC 2500 MEDICAL CENTER DRIVE BELLEVUE,NE68123	X	X		X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

The Nebraska Medical Center

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Bellevue Medical Center LLC

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address		Type of Facility (describe)
1	Nebraska Medical Center Radiology 2727 S 144th St Ste 120 Omaha,NE68144	Provider Based Radiology Department
2	Nebraska Medical Center Laboratory 2727 S 144th St Ste 160 Omaha,NE68144	Provider Based Laboratory Department
3	NMC - Bellevue Pharmacy 2510 Bellevue Medical Ctr Dr Ste Bellevue,NE68123	Pharmacy
4	Cancer Ctr at VillAge Point Med Center 111 N 175th Street Omaha,NE68118	Oncology, Radiology, Pathology, Pharmacy , Treatment
5	NMC - Bellevue Cancer Services 2510 Bellevue Med Ctr Dr Bellevue,NE68123	Infusion Services Oncology Clinic
6	NMC Cardiology Imaging 2727 S 144th St STE 290 Omaha,NE68144	Cardiology Imaging
7	NMC Bellevue Cardiology Imaging 2500 Bellevue Med Ctr Dr STE 250 Bellevue,NE68123	Cardiology Imaging
8	NMC-Village Point Endoscopy Center 111 North 175th Street Omaha,NE68118	Endoscopy Services
9	NMC - Bellevue Cancer Services 2500 Medical Center Drive Rms 224-2 Bellevue,NE68123	Infusion Services
10

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Part I, Line 3C		Not applicable as the organization does follow FPG to determine eligibility for providing fee care to low income individuals.
Part I, Line 6A		The Organization's community benefit report can be accessed at http://www.nebraskamed.com/newroom/community. Bellevue Medical Center is not a 501(c)(3) tax-exempt hospital and is therefore not required to and does not file a community benefit report.
Part I, Line 7G		Physician Clinics were included in the subsidized health services calculation resulting in additional net community benefit expense of $1,737,182.
Part I, Line 7, Column F		The percent of charity care and certain other community benefits at cost as a percent of total expenses less bad debt is 13.65%. BAD DEBT EXPENSE OF $48,379,658 INCLUDED IN THE FUNCTIONAL EXPENSE TOTAL PART IX, LINE 25 IS NOT INCLUDED IN THE TOTAL OPERATING EXPENSE USED TO CALCULATE THE TABLE 7 PERCENTAGES. NMC OWNS APPROXIMATELY 67% OF BMC and that percentage of expenses is included in order to properly calculate the table 7 percentages. The denominator used to calculate the cost to charge ratio is $799,394,759.
Part I, Line 7		These numbers are computed in a cost accounting system that produces a cost for every service the hospital provides. Relative value units, for seven categories of expense, are updated annually for each patient service which keeps the cost accounting current. These costs per unit values are applied to the patient utilization to compute the total cost. The cost accounted total is tied back to the Hospital's financial statements to ensure system integrity.
Part III, Line 4		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 2012 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.
Part III, Line 8		Overall Medicare patients produce a negative 4% margin on Gross Charges. This is spread across most of our Product lines. Our heaviest losses are from the inpatient Neurology, Oncology and Cardiac product lines 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 service the hospital provides. The system is updated annually and tied to our Financial Statements to ensure integrity of the product line profitability statements.
Part III, Line 9B		A patient 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.
Part V		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.
Schedule H, Part VI, Line 2	Needs Assessment	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. Additionally, NMC engaged Professional Research Consultants (PRC) to perform a comprehensive Community Health Needs Assessment (CHNA) in collaboration with the local health systems and County health departments.
Schedule H, Part VI, Line 3	Patient Education of Eligibility for Assistance	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 works with our self pay population to pursue coverage through state, federal or local programs. 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 origin, 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 as defined. 1. This could be occasioned by a personal catastrophe or unavoidable crisis affecting an individual who would otherwise be able to pay for service, or a person who has income above poverty level but is still not able to pay the entire cost of service. 2. A patient generally may qualify for catastrophic charity care in instances where the patient liability is in excess of 25% of annual household income. E. All transplant and IRP patients must meet with a Transplant Financial Counselor to secure financial clearance. Transplant and IRP patients must pass financial screening (ACCESS-FIC-082) or must be approved via the Transplant Variance Policy (FN 21) 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) 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.
Schedule H, Part VI, Line 4	Community Information	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 77% of our inpatient and outpatient discharges and visits. The 2012 estimated population for this local area is 692,221. The estimated race breakdown of the population is below. White Non-Hispanic 511,490 73.9% Black Non-Hispanic 66,512 9.6% Asian Non-Hispanic 18,173 2.6% Hispanic 75,581 10.9% All Others 20,465 3.0% There are eleven 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, Nebraska Orthopaedic 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 $52,929 in Douglas County with 70,658 (13.3%) below poverty and $69,018 average household income in Sarpy County with 9,951 (6.0%) below poverty levels. Statistics by county for the rest of the state can be obtained here: http://www.neded.org/files/research/stathand/ksect10.htm In the 2012 fiscal year, there were 12,914 Medicaid claims in the local community and 3,686 uninsured or self pay claims. Of these, NMC served 30.4% of the Medicaid claims and 39.0% of the uninsured (or self pay).
Schedule H, Part II and Part VI, Line 5	Community Building Activities and Promotion of Health	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. 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 has participated in, and hosted a number of events designed to promote a Healthier community. In addition to financial support of several community-based charitable organizations and the local Chamber of Commerce, the hospital's leadership team is active on community boards. BMC also hosts free monthly "Healthy Review" talks where a physician gives an educational presentation on various diseases and conditions. These initiatives demonstrate BMC's mission to support the healthcare needs of the community by providing a healing environment focused on quality, compassion, and personalized care along with its ongoing commitment to create a healthier community throughout its service area.
Other Information		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.
Schedule H, Part VI, Line 6		Neither NMC nor BMC are in an affiliated healthcare system.
Schedule H, Part VI, Line 7		NMC files a community benefit report with the Nebraska Hospital Association annually. BMC is not required to file a community benefit report in any state.
Schedule H, Part V	Section B, Line 11h	Policy FN16: Discount/Financial Adjustments talks about "Discounts for Patients with Non Third-Party Payment Source," Discounts, similar to discounts offered to managed care plans, are offered for most patients that do not have third-party insurance and do not meet the guidelines for governmental assistance programs. This discount is subject to change based on the rates agreed upon through managed care contracts. These discounts are independent of the charity adjustments, and that charity adjustments are applied after the self-pay adjustment is applied to the billed charges.
Schedule H, Part V	Section B, Line 13g	Information on how to get financial assistance is posted on the website under Patient Friendly Billing which is located under the Patient & Visitors section. There are departments listed with phone numbers to call for more information or to set up an appointment.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
THE NEBRASKA MEDICAL CENTER

Employer identification number
91-1858433

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) American Heart Association10100 J Street Ste A Omaha,NE68127	13-5613797	501(c)(3)	25,300				General Support
(2) March of Dimes11840 Nicholas Street Omaha,NE68154	13-1846366	501(c)(3)	7,750				General Support
(3) Lutheran Family ServicesAt Ease124 S 24th Street Omaha,NE68102	23-7267972	501(c)(3)	24,390				General Support
(4) Salvation Army3612 Cuming St Omaha,NE68131	36-2167910	501(c)(3)	15,000				General Support
(5) University of Nebraska Medical Center986800 Ne Med Ctr Omaha,NE681986800	47-0049123	GOVT	29,807,915				SUPPORT OPERATIONS
(6) Hope Medical Outreach Coalition4920 S 30th Street Omaha,NE68107	47-0548990	501(c)(3)	27,000				General Support
(7) Project Harmony7110 F Street Omaha,NE68117	47-0789054	501(c)(3)	10,000				General Support
(8) United Cerebral Palsy Foundation920 S 107th Ave Ste 302 Omaha,NE68114	47-0534212	501(c)(3)	9,100				General Support
(9) Greater Omaha Chamber Foundation1301 Harney Street Omaha,NE68102	47-0633685	501(c)(3)	25,000				General Support
(10) Leukemia and Lymphoma Society10832 Old Mill Rd Ste 2 Omaha,NE68154	13-5644916	501(c)(3)	7,500				General support
(11) Joslyn Art Museum2200 Dodge St Omaha,NE68102	47-0384577	501(c)(3)	50,000				General Support
(12) University Hospital Auxiliary987509 Ne Med Ctr Omaha,NE681987509	47-0591991	501(c)(3)	13,350				General support
(13) The Durham Western Heritage Museum801 S 10th St Omaha,NE68108	47-0556061	501(c)(3)	50,000				General support
(14) Clarkson College101 S 42nd Street Omaha,NE681312739	36-3649217	501(C)(3)	3,027,692				General Support
(15) Board of Regents of the Univ of NE3835 Holdrege Lincoln,NE68583	47-0049123	GOVT	6,000,000				General support
(16) Mid-America Council12401 W Maple Rd Omaha,NE681641853	47-0376545	501(c)(3)	20,000				General support
(17) Wellness Council of the Midlands12565 W Center Rd Ste 220 Omaha,NE68144	47-0642708	501(c)(3)	5,489				General support
(18) UNMC Physicians988101 Ne Med Ctr Omaha,NE681988101	47-0785575	501(c)(3)	23,429,652				Support Operations
(19) University of Nebraska Foundation6901 Dodge Street Omaha,NE68198	47-0379839	501(c)(3)	30,000				Fund #1105240, Sharing Clinic 2011&2012
(20) Legal Aid of Nebraska1904 Farnam St Ste 500 Omaha,NE68102	47-0483506	501(c)(3)	24,964				PATIENTS LEGAL AID
(21) Make a Wish11926 Arbor St Ste 102 Omaha,NE68144	47-0671096	501(c)(3)	7,500				General support
(22) Omaha Symphony1605 Howard St Omaha,NE68102	47-6039304	501(c)(3)	75,000				General Support
(23) Impact One Community Connection2415 Grant Street Omaha,NE68111	27-0318102	501(c)(3)	12,500				General Support
(24) United Way of the Midlands1805 Harney Street Omaha,NE68102	47-0376605	501(c)(3)	10,175				General Support
(25) Clarkson Regional Health Services Inc988145 NE MED CTR Omaha,NE681988145	47-0376531	501(c)(3)	6,000,000				General Support
(26) Latino Center of the Midlands4821 S 24th Street Omaha,NE68107	23-7208431	501(c)(3)	10,000				General Support
(27) AMerican Cancer Society Relay for Life9850 Nicholas Street Omaha,NE68114	74-1185665	501(c)(3)	11,000				General Support
(28) Heart of Ministry Center2222 Binney Street Omaha,NE68110	81-0614816	501(c)(3)	9,770				General Support
(29) Charles Drew Health Center2915 Grant Street Omaha,NE68111	47-0666715	501(c)(3)	5,500				General Support
(30) Omaha Children's Museum500S 20th Street Omaha,NE68102	47-0594056	501(c)(3)	5,500				General Support
(31) Campaign for Nebraska2285 South 67th Street STE 200 Omaha,NE68106	47-0379839	501(c)(3)		20,000	FMV	ULTRASOUND MACHINE	General Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2011

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) Financial Assistance (Charity Care)	6395	44,957,428	Book	Charity Care
(2) Financial Assistance (Pharmaceuticals)	654	101,386	Book	Emerg Drug Fund
(3) Financial Assistance (Renal-Indigent Patients)	8	618,050	FMV	INDIGENT DIALYSIS

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
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.

Schedule I (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) Glenn A Fosdick	(i) (ii)	639,386 0	467,000 0	177,178 0	156,024 0	14,818 0	1,454,406 0	146,090 0
(2) Stephen Smith MD	(i) (ii)	462,092 0	278,000 0	109,794 0	131,475 0	9,146 0	990,507 0	93,147 0
(3) William Dinsmoor	(i) (ii)	405,947 0	231,000 0	76,119 0	129,280 0	6,724 0	849,070 0	68,243 0
(4) Joe Graham	(i) (ii)	380,529 0	225,000 0	99,834 0	119,388 0	10,746 0	835,497 0	93,253 0
(5) Rosanna Morris	(i) (ii)	303,297 0	135,000 0	96,133 0	93,330 0	624 0	628,384 0	89,846 0
(6) Deepak Madhavan MD	(i) (ii)	242,090 0	0 0	1,742 0	16,212 0	5,693 0	265,737 0	0 0
(7) Marcel Devetten MD	(i) (ii)	257,485 0	9,006 0	1,898 0	15,388 0	7,438 0	291,215 0	0 0
(8) Antonio Reyes MD	(i) (ii)	266,778 0	0 0	1,178 0	19,813 0	9,258 0	297,027 0	0 0
(9) Martin Carmody	(i) (ii)	168,769 0	12,161 0	126,310 0	16,727 0	4,798 0	328,765 0	0 0
(10) Michael D Johnson MD	(i) (ii)	282,425 0	0 0	1,346 0	2,231 0	8,885 0	294,887 0	0 0
(11) Randall J Hallett	(i) (ii)	221,074 0	58,765 0	13,213 0	18,139 0	10,325 0	321,516 0	0 0
(12) Louis Burgher MD	(i) (ii)	294,453 0	0 0	0	0 0	6,437 0	300,890 0	0 0
(13) Thomas Macy	(i) (ii)	226,958 0	0	1,087 0	21,045 0	11,808 0	260,898 0	0 0
(14) Natale Ponticello	(i) (ii)	239,486 0	35,692 0	12,673 0	28,438 0	4,151 0	320,440 0	0 0
(15) Tadd Pullin	(i) (ii)	317,481 0	47,537 0	1,471 0	25,580 0	7,695 0	399,764 0	0 0
(16) Cynthia Owen	(i) (ii)	247,160 0	0	13,551 0	23,805 0	974 0	285,490 0	0 0
(17) Lianne Stevens	(i) (ii)	203,934 0	0 0	959 0	23,119 0	6,908 0	234,920 0	0 0
(18) Theresa Franco	(i) (ii)	222,959 0	22,814 0	12,149 0	19,936 0	9,981 0	287,839 0	0 0
(19) Deborah Istas	(i) (ii)	224,636 0	22,524 0	1,636 0	24,969 0	2,477 0	276,242 0	0 0
(20) Jorge Parodi	(i) (ii)	216,520 0	22,247 0	17,836 0	22,667 0	10,278 0	289,548 0	0 0
(21) Ruta Davidson	(i) (ii)	208,906 0	31,671 0	1,534 0	14,071 0	12,083 0	268,265 0	0 0
(22) Michael Powell	(i) (ii)	197,692 0	0 0	5,375 0	23,418 0	14,813 0	241,298 0	0 0
(23) Charles Lakso	(i) (ii)	205,982 0	0	1,476 0	15,045 0	8,078 0	230,581 0	0 0
(24) Edwin Dickinsen	(i) (ii)	186,550 0	0 0	883 0	7,878 0	11,454 0	206,765 0	0 0
(25) Lisa McClane	(i) (ii)	182,776 0	0 0	1,347 0	10,042 0	4,508 0	198,673 0	0 0
(26) Connie Ogden	(i) (ii)	171,702 0	0 0	1,241 0	18,691 0	2,086 0	193,720 0	0 0
(27) David S Fuller	(i) (ii)	200,509 0	0	24,562 0	21,253 0	6,908 0	253,232 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
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 $68,243 Stephen Smith, MD $93,147 Joe Graham $93,253 Rosanna Morris $89,846 Glenn Fosdick $146,090
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. These performance payments are in lieu of a typical executive's base pay. The board of directors and executives determined it is in the best interest of the organization to have a portion of their base pay subject to forfeiture unless the pre-determined financial and non-financial factors discussed above are achieved. Incentive compensation related to FY11 performance were paid to the following individuals: Glenn Fosdick $467,000 Stephen Smith, MD $278,000 Joe Graham $225,000 William Dinsmoor $231,000 Rosanna Morris $135,000 Tadd Pullin $ 47,537 Randall Hallett $ 58,765 Natale Ponticello $ 35,692 Theresa Franco $ 22,814 Jorge Parodi $ 22,247 Deborah Istas $ 22,524 Ruta Davidson $ 31,671 Marcel Devetten $ 9,006 Martin Carmody $ 12,161

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
THE NEBRASKA MEDICAL CENTER

Employer identification number
91-1858433

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	Hospital Auth No 2 of Douglas County NE	52-1440769	000000000	09-28-2010	10,000,000	Hospital Facilities & Equipment		X		X		X
B	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	12-10-2003	41,712,290	Refund Bonds issued 8/22/1991		X		X		X
C	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	05-05-2008	10,000,000	Hospital Facilities & Equipment		X		X		X
D	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	06-01-2011	10,000,000	HOSPITAL FACILITIES & EQUIPMENT		X		X		X
	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	12-01-2011	27,111,201	Hosptial Facilities and EPIC		X		X		X
	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	04-29-2009	10,000,000	HOSPITAL FACILITIES & EQUIPMENT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	0		0		0		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . .	10,002,474		41,712,290		10,026,478		10,000,115
4 Gross proceeds in reserve funds . . . . . . . .	0		4,171,707		0		0
5 Capitalized interest from proceeds . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . .	0		834,246		0		0
8 Credit enhancement from proceeds . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . .	10,002,474		3,768		10,026,478		10,000,115
11 Other spent proceeds . . . . . . . . . . .	0		36,829,408		0		0
12 Other unspent proceeds . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . .	2010		1994		2009		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .	X		X		X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0.00000%		0%		0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0.00000%		0%		0%
7 Does the bond issue meet the private security or payment test? . . .	X		X		X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . .	0		0		0
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X				X
b Name of provider . . . . . .	0		0		0		0
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? .	X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
OTHER SPENT PROCEEDS	0	PART II LINE 11, COLUMN B THIS IS THE ISSUE PRICE, LESS SALE PROCEEDS DEPOSITED IN THE RESERVE FUND (NET OF AMOUNT FROM THE PRIOR 1991 BONDS PRINCIPAL AND INTEREST OF 48,753.61 & 77,607.08 ) AND USED TO PAY COSTS OF ISSUANCE AND INTEREST ON THE 2003 BONDS ($3,768 ROUNDING AMT).
BOND ISSUE - PRIVATE BUSINESS USE	0	SCH. K PART III PER THE INSTRUCTIONS, THIS PART IS NOT TO BE COMPLETED FOR POST-DECEMBER 21, 2002 BOND ISSUES WHICH REFUND A PRE- JANUARY 2003 ISSUE.
Bond Issue - PROCEEDS	0	PART II, LINE 4, COLUMN B THE RESERVE AMOUNT IS HIGHER THAN THE REQUIRED RESERVE DUE TO APPRECIATION OF THE INVESTMENT AT 6/30/2012.
Bond Issue	0	PART II, COLUMN A, LINE 3 THIS AMOUNT REPRESENTS A DRAW DOWN OF FINANCING. ALL AMOUNTS DRAWN WERE SPENT ON THE PROJECT. PART II, COLUMN A, LINE 16 THIS AMOUNT REPRESENTS A DRAWDOWN OF FINANCING. THE FUNDS WERE SPENT, BUT IT IS NOT THE FINAL ALLOCATION OF FUNDS.

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
THE NEBRASKA MEDICAL CENTER

Employer identification number
91-1858433

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	Hospital Auth No 2 of Douglas County NE	52-1440769	000000000	09-28-2010	10,000,000	Hospital Facilities & Equipment		X		X		X
B	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	12-10-2003	41,712,290	Refund Bonds issued 8/22/1991		X		X		X
C	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	05-05-2008	10,000,000	Hospital Facilities & Equipment		X		X		X
D	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	06-01-2011	10,000,000	HOSPITAL FACILITIES & EQUIPMENT		X		X		X
	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	12-01-2011	27,111,201	Hosptial Facilities and EPIC		X		X		X
	HOSPITAL AUTH NO 2 OF DOUGLAS COUNTY NE	52-1440769	000000000	04-29-2009	10,000,000	HOSPITAL FACILITIES & EQUIPMENT		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	0		0		0		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . .	10,002,474		41,712,290		10,026,478		10,000,115
4 Gross proceeds in reserve funds . . . . . . . .	0		4,171,707		0		0
5 Capitalized interest from proceeds . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . .	0		834,246		0		0
8 Credit enhancement from proceeds . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . .	10,002,474		3,768		10,026,478		10,000,115
11 Other spent proceeds . . . . . . . . . . .	0		36,829,408		0		0
12 Other unspent proceeds . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . .	2010		1994		2009		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X	X			X		X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .	X		X		X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0.00000%		0%		0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0.00000%		0%		0%
7 Does the bond issue meet the private security or payment test? . . .	X		X		X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . .	0		0		0
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X				X
b Name of provider . . . . . .	0		0		0		0
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? .	X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
OTHER SPENT PROCEEDS	0	PART II LINE 11, COLUMN B THIS IS THE ISSUE PRICE, LESS SALE PROCEEDS DEPOSITED IN THE RESERVE FUND (NET OF AMOUNT FROM THE PRIOR 1991 BONDS PRINCIPAL AND INTEREST OF 48,753.61 & 77,607.08 ) AND USED TO PAY COSTS OF ISSUANCE AND INTEREST ON THE 2003 BONDS ($3,768 ROUNDING AMT).
BOND ISSUE - PRIVATE BUSINESS USE	0	SCH. K PART III PER THE INSTRUCTIONS, THIS PART IS NOT TO BE COMPLETED FOR POST-DECEMBER 21, 2002 BOND ISSUES WHICH REFUND A PRE- JANUARY 2003 ISSUE.
Bond Issue - PROCEEDS	0	PART II, LINE 4, COLUMN B THE RESERVE AMOUNT IS HIGHER THAN THE REQUIRED RESERVE DUE TO APPRECIATION OF THE INVESTMENT AT 6/30/2012.
Bond Issue	0	PART II, COLUMN A, LINE 3 THIS AMOUNT REPRESENTS A DRAW DOWN OF FINANCING. ALL AMOUNTS DRAWN WERE SPENT ON THE PROJECT. PART II, COLUMN A, LINE 16 THIS AMOUNT REPRESENTS A DRAWDOWN OF FINANCING. THE FUNDS WERE SPENT, BUT IT IS NOT THE FINAL ALLOCATION OF FUNDS.

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Bruce Lauritzen	PRESIDENT 1ST NATL BANK	27,282,717	Supplies, Services, Lease		No
(2) Bruce Grewcock	President of Kiewit Const	13,042,986	CONSTRUCTION SERVICES		No
(3) Canedy Pullin Fosdick Dinsmoor	Simplywell Board Members	581,751	Services, supplies, rental in		No
(4) SMITHCANEDYDINSMOOrPULLINMACY	NOH LLC BOARD MEMBERS	1,931,329	SERVICES and supplies		No
(5) William Dinsmoor	WIFE IS EMPLOYEE	176,488	EMPLOYMENT		No
(6) William Dinsmoor	BROTHER IS EMPLOYEE	28,373	EMPLOYMENT		No
(7) Louis Burgher	DAUGHTER IS EMPLOYEE	51,806	EMPLOYMENT		No
(8) Joe Graham	DAUGHTER IS EMPLOYEE	41,585	EMPLOYMENT		No
(9) Deborah Istas	Son IS EMPLOYEE	14,992	Employment		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
BUSINESS TRANSCATIONS INVOLVING INTERESTED PERSONS	PART IV	1.) THE SERVICES THAT ARE PROVIDED BY FIRST NATIONAL BANK OF OMAHA CONSIST OF PURCHASED SUPPLIES AND SERVICES AND TAX EXEMPT FINANCING. THE FINANCING IS APPROXIMATELY 99% OF THE TOTAL AMOUNT OF THE TRANSACTION. 2.) THE SERVICES THAT ARE PROVIDED BY KIEWIT CONSTRUCTION CONSIST OF CONSTRUCTION CONTRACTS FOR PROJECTS THROUGHOUT THE CAMPUS. 3.) THE TRANSACTIONS WITH SIMPLYWELL CONSISTS OF RENTAL INCOME TO NMC FOR THE LEASE OF SPACE AND OTHER INCOME FOR SALE OF SERVICES And SUPPLIES, SUCH AS PARKING, SUPPLY CHAIN AND PHONE SERVICES. APPROXIMATELY 80% OF THE TOTAL TRANSACTION RELATES TO PAYMENTS TO SIMPLYWELL FOR THE WELLNESS PROGRAM FOR NMC EMPLOYEES. 4.) THE SERVICES PROVIDED TO/FROM NOH LLC ARE COMPRISED OF RENT, SUPPLIES AND SERVICES.

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

Types of Property

	(a) Check if applicable	(b) Number of Contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	2	1,269,523	Market Value stock
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ............................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) 2011

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33 and whether the organization is reporting in Part I, column (b) the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
PART I, LINE 32A		TNMC USES FIRST NATIONAL BANK OF OMAHA FOR INVESTMENT SERVICES. PART OF THESE SERVICES IS TO SELL NONCASH CONTRIBUTIONS RECEIVED BY THE CORPORATION.

Schedule M (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Identifier	Return Reference	Explanation
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 11B	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 990 with the Schedule B redacted from the tax form after it was filed.
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 AT LEAST ONCE EVERY THREE YEARS 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 COMPETITITVE 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 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.
Business and Family Relationships	Form 990, Part VI, Line 2	Mr. Bruce Grewcock and Mr. 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, Ms. Ruta Davidson, and Mr. Charles Lakso have a business relationship (through board of directors relationship). Mr. Glenn Fosdick, Mr. William Dinsmoor, Mr. Joe Graham, and Dr. Stephen Smith have a business relationship (through board of directors relationship). Mr. William Dinsmoor, Dr. James Canedy, Mr. Thomas Macy, Mr. Joe Graham, Dr. Stephen 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). Mr. William Dinsmoor, Mr. Tadd Pullin, Mr. Tom Macy and Dr. Stephen Smith have a business relationship (through board of directors relationship). Mr. Mogens Bay and Mr. J.B. Milliken 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 and vascular disease, movement and memory disorders, multiple sclerosis brain and spinal tumors, spine as well as epilepsy. The Epilepsy Center is the only level 4 center 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. 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. In addition, U.S. News and World Report surveyed the nation's roughly 5,000 hospitals to come up with this year's list of Best Hospitals. Fewer than 150 of those hospitals are nationally ranked. The Nebraska Medical Center is ranked in Neurology and Neurosurgery at #40. During fiscal year 2012, Neurology incurred over 19,000 cases and almost 13,000 patient days. Approximately 70% 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 in the state with more than 5,000 employees and over 1,000 physicians on staff 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. The Corporation also has one of the few biocontainment units in the United States equipped to safely care for those exposed to highly contagious, dangerous diseases. The 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. During fiscal year 2012, all other hospital services incurred over 240,000 cases and approximately 73,000 patient days. Approximately 70% of the revenue was derived from inpatient cases.
RECONCILIATION OF NET ASSETS	990, PART XI, LINE 5	Change in Noncontrolling Interest 641,821 Equity Changes in Subs. 2,346,549 Change in Pension Accts (12,006,245) Change in Unreal Loss Invstmts (1,752,915) Net Assets Released (571,456) Clarkson College Net Income (1,389,607) Change in Clarkson Coll Fund Bal (956,943) Total (13,688,796)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Nancy Keegan TITLE:Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Bradley E Britigan TITLE:Member HOURS:1

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

THE NEBRASKA MEDICAL CENTER

Employer identification number

91-1858433

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Community HOSPITAL Association PO Box 107 405 East Main ST Fairfax,MO64446 44-0537826	ACUTE CARE	MO	501(c)(3)	Line 4	NMC	Yes
(2) Community Healthcare Foundation Inc PO Box 107 405 East Main St Fairfax,MO64446 43-1757553	Financial Sup	MO	501(C)(3)	Line 4	Com Hosp Asc	Yes
(3) NHS Clarkson Hospital Service League 988145 Nebraska Medical Center Omaha,NE68198 47-6028036	Support TNMC	NE	501(C)(3)	L11,TypeIII	NA		No
(4) Clarkson College 101 South 42nd Street Omaha,NE68131 36-3649217	College	NE	501(C)(3)	LINE 2	NMC	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Bellevue Med Ctr 2500 BMC Dr BELLEVUE,NE68123 20-4305186	Acute Care	NE	NMC	Related	-1,303,360	29,699,973		No	0	Yes		67.730 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) NHS Orthopaedic Services Inc 988145 Nebraska Medical Center Omaha,NE681988145 47-0845238	Investment Sv	NE	NMC	C Corp	4,369,905	12,329,052	100.000 %
(2) Nebraska Health Partners Inc 987400 Nebraska Medical Center Omaha,NE691987400 47-0816463	Management	NE	NMC	C Corp	203,258	0	100.000 %

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) CLARKSON COLLEGE	b	3,027,692	BOOK
(2) BELLEVUE MEDICAL CENTER	d	19,437,788	BOOK
(3) BELLEVUE MEDICAL CENTER	i	22,633,798	BOOK
(4) CLARKSON COLLEGE	i	10,953,399	BOOK
(5) BELLEVUE MEDICAL CENTER	k	3,021,459	BOOK
(6) Clarkson College	k	1,822,372	Book
(7) NEBRASKA HEALTH PARTNERS	N	59,203	BOOK

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	8
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	6,664
6	Total number of volunteers (estimate if necessary) ....	6	754
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	3,542,981
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,883,380	6,021,010
9	Program service revenue (Part VIII, line 2g) .........	806,885,872	803,756,761
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,701,522	8,473,453
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,313,503	10,826,695
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	823,784,277	829,077,919
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	112,191,862	114,453,911
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	311,803,326	311,005,305
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	60,461	70,742
b	Total fundraising expenses (Part IX, column (D), line 25) 1,235,932
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	359,840,820	377,138,177
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	783,896,469	802,668,135
19	Revenue less expenses. Subtract line 18 from line 12.......	39,887,808	26,409,784
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	751,131,232	797,174,434
21	Total liabilities (Part X, line 26).............	209,367,333	242,689,546
22	Net assets or fund balances. Subtract line 21 from line 20.....	541,763,899	554,484,888

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 153,420,323 including grants of $ 25,730,513 ) (Revenue $ 176,159,074 )
	Oncology Service Line 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. In the fall of 2008, 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 162 patients in the year ended June 30, 2012. 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 patients overall well-being. During fiscal year 2012, the Oncology Service Line incurred over 80,000 cases and almost 21,000 patient days. Approximately 46% of the net revenue was derived from inpatient cases.

4b	(Code: ) (Expenses $ 95,254,006 including grants of $ 19,348,779 ) (Revenue $ 100,691,166 )
	Cardiovascular Service Line 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 American Heart Association and are certified by 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 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. We have the only Joint Commission certified Destination Therapy program in the state. This year, U.S. News and World Report recognized our Cardiovascular Program as a "high performing" program and ranked us 105th out of almost 1000 hospitals in the country. The hospital treats patients from the surrounding region and in the year ended June 30, 2012, approximately 350 open heart surgeries were performed, 24 heart transplants and 23 mechanical circulatory system devices implantations were performed. During fiscal year 2012, the Cardiovascular Service Line incurred over 3,100 inpatient discharges, 15,000 patient days and 38,000 out-patient services. Approximately 65% of the net revenue was derived from inpatient cases.

4c	(Code: ) (Expenses $ 76,810,470 including grants of $ 10,164,821 ) (Revenue $ 83,408,474 )
	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, 2012, the Corporation performed 278 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 2012, the Solid Organ Transplantation Service Line incurred over 24,440 cases and 14,700 patient days. Approximately 84% of the revenue was derived from inpatient cases.

	(Code: ) (Expenses $ 69,267,881 including grants of $ 13,348,924 ) (Revenue $ 71,947,838 )
	Neurolgy Service Line

	(Code: ) (Expenses $ 405,036,038 including grants of $ 45,860,874 ) (Revenue $ 377,064,014 )
	Other Program Services

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 474,303,919 including grants of $ 59,209,798 ) (Revenue $ 449,011,852 )
4e	Total program service expenses$ 799,788,718

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) Bruce R Lauritzen Chairman	1.0	X	X
(2) Mogens C Bay Vice Chairman	1.0	X	X
(3) Jan Thayer Secretary	1.0	X	X
(4) Bruce Grewcock Treasurer	1.0	X	X
(5) Duane W Acklie Member	1.0	X
(6) James T Canedy Member	1.0	X
(7) Nancy Keegan Member	1.0	X
(8) Ronald Hollins MD Member	1.0	X
(9) Harold Maurer MD Member	1.0	X
(10) Gail Walling Yanney MD Member	1.0	X
(11) James Young Member	1.0	X
(12) Marlin G Stahl MD Member	1.0	X
(13) James B Milliken Secretary	1.0	X	X
(14) Bradley E Britigan Member	1.0	X
(15) Glenn A Fosdick President	55.0		X	1,283,564	0	162,997
(16) Stephen Smith MD Chief Medical Officer	55.0		X	849,886	0	137,233
(17) William Dinsmoor Chief Financial Officer	55.0		X	713,066	0	133,585

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	9,578,518	0	1,189,633

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		483,468
d	Related organizations...1d
e	Government grants (contributions)1e		831,944

f	All other contributions, gifts, grants, and similar amounts not included above1f		4,705,598
g	Noncash contributions included in lines 1a-1f:$ 1,269,523
h	Total. Add lines 1a-1f.......			6,021,010
			Business Code
2a	NET PATIENT REVENUE		900,099	790,725,021	790,725,021
b	LAB ADMINISTRATION		900,099	4,971,846	4,971,846
c	REMOTE PHARMACY SERVICES		446,110	4,359,825	4,084,659	275,166
d	LIED HOSPITALITY		900,099	999,472	999,472
e	5N Pediatrics ICU		900,099	819,374	819,374
f	All other program service revenue .			1,881,223	1,881,223
g	Total. Add lines 2a–2f........			803,756,761
3	Investment income (including dividends, interest
	and other similar amounts).....			8,659,655			8,659,655
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents	3,614,731	566,651
b	Less: rental expenses
c	Rental income or (loss)	3,614,731	566,651
d	Net rental income or (loss).......			4,181,382		2,227,375	1,954,007
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	10,588,163	76,812
b	Less: cost or other basis and sales expenses	10,765,247	85,930
c	Gain or (loss)	-177,084	-9,118
d	Net gain or (loss)..........			-186,202			-186,202
8a	Gross income from fundraising events (not including $ 483,468 of contributions reported on line 1c). See Part IV, line 18 ...
	a		45,128
b	Less: direct expenses ...b		232,224
c	Net income or (loss) from fundraising events..			-187,096			-187,096
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	ENVIRONMENTAL SERVICES		900,099	2,920,562	2,920,562
b	CHILD CARE		446,110	785,492	785,492
c	OTHER SERVICES		541,900	370,000	20,000	350,000
d	All other revenue ....			2,756,355	2,065,915	690,440
e	Total. Add lines 11a–11d ......			6,832,409
12	Total revenue. See Instructions....			829,077,919	809,273,564	3,542,981	10,240,364


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			23,239,179	1	41,697,888
2	Savings and temporary cash investments .......			183,084,543	2	185,577,791
3	Pledges and grants receivable, net .........			612,000	3	410,396
4	Accounts receivable, net .........			106,014,314	4	101,354,366
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........			0	6	0
7	Notes and loans receivable, net .............			3,730,695	7	3,085,245
8	Inventories for sale or use ..............			3,895,068	8	4,232,728
9	Prepaid expenses and deferred charges ............			5,415,658	9	9,157,216
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	826,620,006
b	Less: accumulated depreciation. .....	10b	460,181,918	337,355,555	10c	366,438,088
11	Investments—publicly traded securities ..........			46,132,731	11	47,532,017
12	Investments—other securities. See Part IV, line 11 ......			9,450,811	12	9,053,596
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			32,200,678	15	28,635,103
16	Total assets. Add lines 1 through 15 (must equal line 34)...			751,131,232	16	797,174,434
17	Accounts payable and accrued expenses .			101,599,446	17	115,099,905
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			53,843,114	20	67,544,073
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			7,863,256	23	15,031,181
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			46,061,517	25	45,014,387
26	Total liabilities. Add lines 17 through 25.....			209,367,333	26	242,689,546
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			532,051,096	27	543,173,579
28	Temporarily restricted net assets .....			8,633,836	28	9,692,282
29	Permanently restricted net assets .....			1,078,967	29	1,619,027
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			541,763,899	33	554,484,888
34	Total liabilities and net assets/fund balances .....			751,131,232	34	797,174,434

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No