2022-11-14T17:44:32-06:00 2021-12-31 990 2021-01-01 470376604 NEBRASKA METHODIST HOSPITAL NEBR 4023544840 825 SOUTH 169TH STREET OMAHA NE 68118 JEFFREY E FRANCIS VP FINANCE & CFO 4023544840 2022-11-14 JEFFREY FRANCIS 999009999 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JOSEPHINE ABBOUD 825 SOUTH 169TH STREET OMAHA NE 68118 841737958 0 X WWW.BESTCARE.ORG X 1891 NE IMPROVING THE QUALITY OF LIFE THROUGH EXCELLENCE IN HEALTHCARE. 14 12 4108 400 7748441 1014831 30115863 35166192 555773738 607355910 41252157 48318383 10136080 10819564 637277838 701660049 18864394 15319035 0 0 245694853 264665958 0 0 0 265119319 287269020 529678566 567254013 107599272 134406036 1027583192 1107422415 368105154 348250976 659478038 759171439 X NEBRASKA METHODIST HOSPITAL (COMMONLY KNOW AS "METHODIST HOSPITAL") IS AN ACUTE CARE FACILITY DEDICATED TO BRINGING HIGH QUALITY CARE FOR THE MIND, BODY AND SPIRIT OF EVERY PERSON. WE PROVIDE COMMUNITY-BASED HEALTH CARE, HEALTH EDUCATION AND SUPPORT SERVICES EVER MINDFUL OF THE INTRINSIC HONOR AND RESPONSIBILITY ACCOMPANYING OUR MISSION. 0 0 59107214 1652068 62439344 SOMEONE DIES FROM HEART DISEASE, STROKE OR ANOTHER CARDIOVASCULAR DISEASE EVERY 40 SECONDS IN THE UNITED STATES, ACCORDING TO THE AMERICAN HEART ASSOCIATION. CARDIOVASCULAR DISEASE, AS THE UNDERLYING CAUSE OF DEATH, ACCOUNTS FOR NEARLY 874,000 DEATHS IN THE U.S WHICH IS ABOUT ONE OUT OF EVERY 3.METHODIST HOSPITAL HAS BEEN A LEADER IN THE CARE AND TREATMENT OF THOSE WHO COME TO US IN OUR EMERGENCY DEPARTMENT OR ARE DIAGNOSED WITH CARDIOVASCULAR DISEASE. WE HAVE LONG BEEN AT THE FOREFRONT IN CARING FOR THESE PATIENTS AND ARE ALWAYS EXPLORING WAYS TO ENHANCE THEIR TREATMENT AND LIFESTYLE.METHODIST HOSPITAL'S COMMITMENT AND SUCCESS IN IMPLEMENTING AN EXCEPTIONAL STANDARD OF CARE FOR CARDIAC PATIENTS HAS BEEN RECOGNIZED BY THE AMERICAN HEART ASSOCIATION AND THE JOINT COMMISSION.METHODIST HEALTH SYSTEM'S VASCULAR AND VEIN PROGRAM WAS GRANTED A THREE-YEAR TERM OF ACCREDITATION BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) IN VASCULAR TESTING IN THE AREA(S) OF EXTRACRANIAL CEREBROVASCULAR TESTING, PERIPHERAL ARTERIAL TESTING AND PERIPHERAL VENOUS TESTING. THE ACCREDITATION AWARDED TO METHODIST IN 2021, DEMONSTRATES OUR ONGOING COMMITMENT TO PROVIDING QUALITY PATIENT CARE IN VASCULAR TESTING. VASCULAR TESTING THROUGH THE ACCREDITED PROGRAM IS AVAILABLE TO PATIENTS AT FOUR LOCATIONS: WEST DODGE MEDICAL PLAZA, METHODIST PHYSICIANS CLINIC AT WESTROADS OFFICE PARK, METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL.IN 2021, THE TRANSCATHETER EDGE TO EDGE MITRAL VALVE REPAIR PROGRAM GREW 485% SINCE 2020, PLACING METHODIST HOSPITAL AS THE VOLUME LEADER IN NEBRASKA. METHODIST HOSPITAL'S CARDIOPULMONARY REHABILITATION PROGRAM WAS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR). THE 2021 CERTIFICATION IS RECOGNITION OF METHODIST HOSPITAL'S COMMITMENT TO IMPROVING PATIENTS' QUALITY OF LIFE BY ENHANCING STANDARDS OF CARE. THIS MARKS THE EIGHTH CERTIFICATION FOR BOTH PROGRAMS CARDIOVASCULAR AND PULMONARY REHABILITATION AT METHODIST HOSPITAL.METHODIST HOSPITAL CONTINUED ITS GREAT SUCCESS WITH THE WATCHMAN PROCEDURE, WHICH IS TARGETED FOR THOSE PATIENTS WITH ATRIAL FIBRILLATION. IN ADDITION, A NEW WIRELESS PACEMAKER PROCEDURE WAS ALSO INTRODUCED. BOTH HAVE BEEN RECEIVED AND PERFORMED WITH GREAT SUCCESS MAKING AN IMPACT ON THE LIVES OF PATIENTS. IN 2021, METHODIST BECAME THE DESTINATION OF CHOICE FOR MANY IN OUR AREA FOR THE PROCEDURE AND WAS THE FIRST IN THE OMAHA MARKET TO REACH THE 500TH WATCHMAN MARK.TECHNOLOGY LIKE THE WATCHMAN WOULD NOT BE POSSIBLE WITHOUT THE ROBUST CARDIAC CLINICAL TRIAL PROGRAM IN PLACE WITH METHODIST PHYSICIANS CLINIC. THE CARDIAC AND VASCULAR SPECIALISTS ARE HIGHLY SOUGHT AFTER BY VARIOUS COMPANIES FOR THE TESTING OF THEIR DEVICES, MEDICATIONS AND OTHER CLINICALLY BENEFICIAL OPTIONS FOR OUR CARDIAC AND VASCULAR PATIENTS. METHODIST'S CARDIOTHORACIC SURGERY PROGRAM RECEIVED THE PRESTIGIOUS 3-STAR RATING FROM CABG THROUGH THE SOCIETY OF THORACIC SURGERY.ALSO A LEADER IN STROKE CARE AND TREATMENT, METHODIST WOMEN'S HOSPITAL BECAME THE FIRST ACUTE STROKE READY HOSPITAL IN NEBRASKA CERTIFIED BY THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. THE SITE CAN ASSESS AND PROVIDE INITIAL TREATMENT TO STROKE PATIENTS, BEFORE TRANSFERRING PATIENTS TO METHODIST HOSPITAL FOR FURTHER TREATMENT. 47401733 1235040 46913961 AT NEBRASKA METHODIST HOSPITAL, WE UNITE ALL OF OUR RESOURCES TO JOIN OUR PATIENTS IN THEIR FIGHT AGAINST CANCER IN ITS TOTALITY. OUR UNIQUE MULTIDISCIPLINARY APPROACH IS ONE OF METHODIST'S GREATEST STRENGTHS. WORKING TOGETHER WITH THE PATIENT ON THE TEAM, WE FOCUS A RARE LEVEL OF COMBINED EXPERTISE TO EXPAND TREATMENT OPTIONS, IMPROVE OUTCOMES AND PROVIDE COMFORT AND HOPE.WE OFFER A FULL LINE OF CANCER SERVICES AT MECC INCLUDING: BREAST CARE CENTER, CHEMOTHERAPY, CLINICAL TRIALS, GYNECOLOGIC ONCOLOGY, HEAD AND NECK ONCOLOGY, LUNG/THORACIC ONCOLOGY, MULTIDISCIPLINARY TEAM APPROACH, NUTRITION SERVICES, OCCUPATIONAL AND SPEECH THERAPY, PHYSICAL WELLNESS PROGRAMS, PSYCHO-ONCOLOGY SERVICES, RADIATION ONCOLOGY, REHABILITATION, SOCIAL WORK, STEM CELL TRANSPLANTS, SUPPORT SERVICES, SURGICAL ONCOLOGY AND TUMOR REGISTRY.MEMBERS OF OUR METHODIST ESTABROOK CANCER CENTER (MECC) LEADERSHIP TEAM HAVE BEEN INVOLVED IN METHODIST HEALTH SYSTEM'S COVID-19 RESPONSE, PROVIDING VALUABLE INSIGHT AND COLLABORATION. THE TEAM'S PERSPECTIVES WERE CRUCIAL TO MANY OF THE EFFORTS TO BETTER SERVE OUR PATIENT POPULATION. AN EXCELLENT EXAMPLE OF OUR RESPONSE CAN BE SEEN IN HOW WE ADAPTED MANY OF OUR SERVICES THAT WERE CRITICAL TO PATIENTS' WELL-BEING. KNOWING THAT CANCER SURVIVORS WERE MISSING THE SOCIAL AND EMOTIONAL INTERACTION THAT OUR OFFERINGS CAN PROVIDE, WE LAUNCHED SEVERAL VIRTUAL OPTIONS, INCLUDING SUPPORT GROUPS, PHYSICAL WELLNESS CLASSES AND NUTRITION CLASSES. ANOTHER INNOVATIVE APPROACH TO CARE WAS THROUGH OUR TELEHEALTH PROGRAM, WHICH ALLOWED OUR PROVIDERS AND SPECIALISTS TO EXTEND VIRTUAL CONSULTATIONS TO HIGH-RISK POPULATIONS. CANCER SCREENINGS WERE PAUSED FOR A TIME, BUT MANY OF OUR PATIENTS ARE BACK ON TRACK, AND THE VALUE OF THOSE SCREENINGS HAS BECOME EVEN MORE APPARENT. ONCE SUCH SCREENING INITIATIVE IN WHICH METHODIST CONTINUES TO BE A LEADER IS OUR LUNG CANCER PROGRAM. WE WERE ONE OF THE FIRST IN THE REGION TO OFFER A LOWDOSE CT SCREENING PROGRAM, ALLOWING US TO CATCH CANCER AT A MUCH EARLIER STAGE. A NEW AND RECENTLY INTEGRATED SOFTWARE SYSTEM/S FOR OUR LUNG CLINIC HAS HELPED BOLSTER OUR EFFORTS RELATED TO INCIDENTAL LUNG NODULES POSSIBLY CANCEROUS MASSES IDENTIFIED INCIDENTALLY DURING UNRELATED PROCEDURES BY STREAMLINING NAVIGATION, DATA COLLECTION, ANALYTICS AND DECISION-MAKING.METHODIST HOSPITAL BECAME THE FIRST IN NEBRASKA AND THE REGION TO ACQUIRE THE ION BY INTUITIVE - A ROBOTIC-ASSISTED SURGICAL SYSTEM FOR LUNG BIOPSIES. THE NEW TECHNOLOGY HELPS PHYSICIANS ACCESS LUNG NODULES TO DETECT AND OBTAIN TISSUE SAMPLES. INSTEAD OF TAKING A WAIT-AND-SEE APPROACH IN SOME CASES, PHYSICIANS USING THE ION TECHNOLOGY WILL BENEFIT FROM DIAGNOSTIC ANSWERS AND BE ABLE TO JUMP-START THE PATH TO TREATMENT IF WARRANTED.OUR WORK TO PREVENT HPV-RELATED CANCERS IS ANOTHER AREA IN WHICH METHODIST IS LEADING THE WAY THROUGH EDUCATION AND RAISING AWARENESS AMONG PATIENTS AND PROVIDERS. WE WERE HONORED TO HAVE BEEN SELECTED TO BE PART OF AN EXTENDED GRANT FROM THE AMERICAN CANCER SOCIETY'S HOSPITAL SYSTEM CAPACITY BUILDING INITIATIVE AS A COMMUNITIES OF PRACTICE LOCATION. THE GRANT ALLOWED US TO FOCUS OUR EFFORTS ON CONSUMER COMMUNICATIONS, HPV RELATED PODCASTS FOR MEDICAL PROFESSIONALS AND ENGAGING OUR STAFF ON THE IMPORTANCE OF THE HPV VACCINE AS A CANCER-FIGHTING TOOL. METHODIST ESTABROOK CANCER CENTER (MECC) WAS DESIGNATED AS A CARE CONTINUUM CENTER OF EXCELLENCE BY GO2 FOUNDATION FOR LUNG CANCER (GO2 FOUNDATION). METHODIST HOSPITAL JOINS MORE THAN 60 OTHER COMMUNITY HOSPITALS AND IS THE FIRST IN NEBRASKA TO BE HONORED WITH THE DESIGNATION, WHICH RECOGNIZES COMMITMENT TO IMPROVING OUTCOMES FOR THOSE DIAGNOSED WITH LUNG CANCER BY PROVIDING PATIENT-FOCUSED AND COORDINATED MULTIDISCIPLINARY CARE. METHODIST ESTABROOK CANCER CENTER BREAST CARE CENTER WAS GRANTED A THREE-YEAR ACCREDITATION DESIGNATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), A PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS. METHODIST WAS THE FIRST IN NEBRASKA TO BE ACCREDITED IN 2009 AND HAS EARNED CONSECUTIVE RE-ACCREDITATIONS IN 2012, 2015 AND NOW 2018. THE AMERICAN CANCER SOCIETY (ACS) AWARDED A GRANT TO METHODIST HOSPITAL TO ADDRESS THE TRANSPORTATION NEEDS OF CANCER PATIENTS IN THE REGION. THE GRANTS WERE AVAILABLE TO HEALTH SYSTEMS, TREATMENT CENTERS AND COMMUNITY ORGANIZATIONS IN SELECT COMMUNITIES THROUGH AN APPLICATION PROCESS. THEY FOCUS ON ADDRESSING THE UNMET TRANSPORTATION NEEDS OF CANCER PATIENTS, PARTICULARLY VULNERABLE POPULATIONS EXPERIENCING AN UNEQUAL BURDEN OF CANCER. METHODIST ESTABROOK CANCER CENTER (MECC) WAS NATIONALLY RECOGNIZED AS AN APPROVED NPF PANCREATIC CANCER CENTER BY THE NATIONAL PANCREAS FOUNDATION. MECC IS THE ONLY NPF CENTER SERVING PATIENTS IN NEBRASKA AND IOWA, AND IT'S ONE OF FEWER THAN 70 NPF CENTERS NATIONWIDE. MECC WAS PREVIOUSLY HONORED BY THE NATIONAL PANCREAS FOUNDATION IN 2019 FOR ITS EFFORTS TO TREAT PANCREATIC CANCER.IN NOVEMBER 2018, METHODIST LAUNCHED THE REGIONS FIRST MOBILE 3D MAMMOGRAPHY COACH. THE COACH PROVIDES LIFE-SAVING BREAST CANCER SCREENINGS TO THE UNINSURED, UNDERINSURED AND BUSINESS COMMUNITY. IN 2021, THE MOBILE COACH SERVED APPROXIMATELY 2,000 PATIENTS.METHODIST ESTABROOK CANCER CENTER RECEIVED INTERNATIONALLY-RECOGNIZED ACCREDITATION BY THE FOUNDATION FOR THE ACCREDITATION OF CELLULAR THERAPY (FACT) AT THE UNIVERSITY OF NEBRASKA MEDICAL CENTER. THIS MARKS THE SECOND TIME METHODIST ESTABROOK CANCER CENTER HAS EARNED THE FACT ACCREDITATION, HAVING ALSO RECEIVED THE RECOGNITION IN 2014. IN ADDITION TO PROVIDING THE STANDARD TREATMENTS, THE PHYSICIANS AT METHODIST HOSPITAL AND ITS METHODIST ESTABROOK CANCER CENTER HAVE CONSISTENTLY SHOWED ACTIVE PARTICIPATION IN CANCER PREVENTION AND TREATMENT TRIALS APPROVED BY THE NATIONAL CANCER INSTITUTE (NCI). EVERY CANCER PATIENT TREATED HERE IS EVALUATED FOR ELIGIBILITY IN NCI-APPROVED TRIALS, AND TRIAL PARTICIPATION IS ENTIRELY VOLUNTARY. ONLY ABOUT 3-5% PERCENT OF ADULT CANCER PATIENTS NATIONWIDE PARTICIPATE IN CLINICAL TRIALS, ACCORDING TO THE NCI, COMPARED TO A 17 PERCENT PARTICIPATION RATE AT METHODIST ESTABROOK CANCER CENTER, WHERE CLINICAL TRIALS ARE OVERSEEN BY A HIGHLY TRAINED, MULTIDISCIPLINARY TEAM OF CANCER SPECIALISTS IN COLLABORATION WITH THE PATIENT'S PRIMARY CARE PROVIDER. 159246877 3042735 154360606 THROUGHOUT OUR CAMPUSES, METHODIST IS FOCUSING ON PROVIDING SPECIALIZED CARE FOR WOMEN. WITH THE ONLY MEDICAL CAMPUS IN THE REGION DEDICATED TO WOMEN'S HEALTH, METHODIST IS A LEADER IN PROVIDING CARE TO WOMEN FROM THE TEENAGE YEARS THROUGHOUT THEIR LIVES. METHODIST IS THE LONG-TIME METRO AREA LEADER IN BIRTH SERVICES, DELIVERING A MORE COMPREHENSIVE ARRAY OF FAMILY PLANNING OPTIONS - AND MORE BABIES - THAN ANY OTHER HOSPITAL IN THE REGION. IN 2021, METHODIST WOMEN'S HOSPITAL REPORTED JUST UNDER 5,000 BIRTHS. THE MONTHLY AVERAGE WAS 416, WITH THE HIGHEST BIRTH MONTH BEING JUNE (459). THE HOSPITAL ENDED THE YEAR WITH 135 SETS OF MULTIPLES (126 SETS OF TWINS, EIGHT SETS OF TRIPLETS AND ONE SET OF QUADRUPLETS).MANY OF THOSE BABIES OFTEN NEED A HIGHER LEVEL OF CARE AND THE METHODIST WOMEN'S HOSPITAL NICU HAS BEEN PROVIDING SUCH CARE SINCE OPENING IN 2010. THE NICU QUICKLY REACHED CAPACITY AND IN 2015 AN EXPANSION PROJECT WAS ANNOUNCED. THE PROJECT EXPANDED THE NICU FROM 28 TO 51 PRIVATE BEDS, 13 NEW SINGLE ROOMS AND FIVE ROOMS FOR TWINS OR TRIPLETS. ALSO PART OF THE PROJECT, A NEW FAMILY LOUNGE SPACE FEATURING A FAMILY BATHROOM. WITH FURTHER INCREASED NEED, THE NICU IS CURRENTLY UNDERGOING A SECOND EXPANSION.IN 2021, METHODIST WOMEN'S HOSPITAL RECEIVED APPROVAL FROM THE METHODIST FOUNDATION BOARD OF DIRECTORS TO MOVE FORWARD WITH A CAPITAL CAMPAIGN TO EXPAND THE NICU TO THE WEST, RESULTING IN 10 TO 12 ADDITIONAL NICU ROOMS. THIS EXPANSION WILL POSITIVELY IMPACT NICU AND ADULT BED CAPACITY. STAFFED BY A HIGHLY SPECIALIZED NEONATAL TEAM, THE NICU IS DESIGNATED A LEVEL III UNIT - THE HIGHEST LEVEL OF CARE IN WEST OMAHA.METHODIST IS HOME TO THE LARGEST OB/GYN PRACTICE IN THE REGION, AS WELL AS ONE OF THE LEADING MATERNAL-FETAL MEDICINE CLINICS SERVING OMAHA AND BEYOND. THE MATERNAL-FETAL MEDICINE TEAM BEGAN OFFERING OUTREACH SERVICES TO PATIENTS IN WESTERN NEBRASKA AND WESTERN IOWA, EXTENDING A HIGH LEVEL OF CARE CLOSER TO HOME TO THOSE FACING A HIGHER RISK PREGNANCY. IN 2021, THE PHYSICIAN GROUP PROVIDED PERINATOLOGY TELEMEDICINE VISITS FOR HIGH-RISK OB OUTPATIENT REFERRALS AT MONTGOMERY COUNTY MEMORIAL HOSPITAL IN RED OAK, IOWA. METHODIST WOMEN'S HOSPITAL HAS EARNED MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR EXCELLENCE IN NURSING. MAGNET STATUS IS CONSIDERED THE "GOLD STANDARD" OF NURSING. THE WEST OMAHA HOSPITAL WAS RECOGNIZED BY BLUE CROSS AND BLUE SHIELD OF NEBRASKA WITH THE BLUE DISTINCTION CENTERS (BDC) FOR MATERNITY CARE DESIGNATION, WHICH IS PART OF THE BLUE DISTINCTION SPECIALTY CARE PROGRAM. THE DESIGNATION HIGHLIGHTS A HOSPITAL'S COMMITMENT TO ENSURING THE BEST HEALTH FOR ALL MOTHERS OF ALL RACES AND ETHNICITIES.BELIEVING IN THE POWER OF DATA WITH AN EYE TOWARD IMPROVING OUTCOMES, METHODIST WOMEN'S HOSPITAL JOINED IN THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) PERINATAL IMPROVEMENT COLLABORATIVE, A LARGE-SCALE, DATA-DRIVEN EFFORT THAT INCLUDES OVER 200 LEADING HOSPITALS CARING FOR DIVERSE POPULATIONS IN ALL 50 STATES. THE HHS PERINATAL IMPROVEMENT COLLABORATIVE WILL TEST INTERVENTIONS AND PROTOCOLS TO REDUCE PREVENTABLE DEATHS AND COMPLICATIONS AMONG MOTHERS AND THEIR BABIES. THE REGIONAL LEADER IN BIRTHS JOINED THE GROWING LIST OF 17 NEBRASKA NEWBORN HEARING HOSPITAL CHAMPIONS. THE INITIATIVE, LED BY THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) AND THE NEBRASKA EARLY HEARING DETECTION AND INTERVENTION PROGRAM (NE-EHDI), AIMS TO EDUCATE PARENTS ABOUT THE IMPORTANCE OF EARLY HEARING DETECTION AND INTERVENTION TO PROTECT BABIES FROM MISSING OUT ON THE MOST CRITICAL PERIOD IN EARLY CHILDHOOD FOR SPEECH AND LANGUAGE DEVELOPMENT.METHODIST WOMEN'S HOSPITAL WAS AWARDED THE INTERNATIONAL BOARD OF CERTIFIED LACTATION CONSULTANTS (IBCLC) CARE AWARD FOR OUR COMMITMENT TO PROVIDING PROFESSIONAL LACTATION SUPPORT AS AN INTEGRAL PART OF ITS MATERNAL-CHILD SERVICES.METHODIST WOMEN'S HOSPITAL IMPLEMENTED THE "EAT, SLEEP, CONSOLE" PROGRAM TO SUPPORT NEONATAL OPIOID WITHDRAWAL SYNDROME PATIENTS.IN AN EFFORT TO INCREASE THE GROWING NEED FOR MENTAL HEALTH SERVICES IN THE COMMUNITY, METHODIST WOMEN'S HOSPITAL LAUNCHED AN OUTPATIENT BEHAVIORAL HEALTH/PSYCHIATRY CLINIC IN THE MEDICAL OFFICE BUILDING ON THE METHODIST WOMEN'S HOSPITAL CAMPUS, IN COLLABORATION WITH METHODIST FREMONT HEALTH. 278761551 9389192 346093256 METHODIST HOSPITAL RECEIVED A FIVE-STAR OVERALL HOSPITAL QUALITY STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). IT WAS ONE OF FOUR HOSPITALS IN NEBRASKA AND THE ONLY ONE IN OMAHA TO EARN THE DESIGNATION. A TOTAL OF 455 HOSPITALS ACROSS THE COUNTRY OBTAINED FIVE STARS.IN CONJUNCTION WITH METHODIST HOSPITAL FOUNDATION AND NEBRASKA METHODIST COLLEGE, METHODIST HOSPITAL LAUNCHED A STUDENT NURSING ASSISTANT PROGRAM TO TRAIN THE NEXT GENERATION OF CERTIFIED NURSING ASSISTANTS (CNAS). BUILT ON THE FOUNDATION OF NEBRASKA METHODIST COLLEGE'S CNA 100 PROGRAM, WHICH OFFERED FREE CNA TRAINING TO OVER 150 STUDENTS IN LATE 2020 AND EARLY 2021, THE STUDENT NURSING ASSISTANT PROGRAM WAS CREATED TO SUPPORT PEOPLE WHO WANT TO BEGIN CAREERS IN HEALTH CARE.THE METHODIST HOSPITAL OUTPATIENT THERAPY PROGRAM WAS ONE OF 302 LOCATIONS TO RECEIVE THE 2021 SPEAK OUT! & LOUD CROWD GRANT FROM PARKINSON VOICE PROJECT. GRANT RECIPIENTS INCLUDED HOSPITALS, UNIVERSITY SPEECH THERAPY CLINICS, PRIVATE PRACTICES AND NONPROFIT ORGANIZATIONS. EACH RECIPIENT RECEIVED THERAPY SUPPLIES AND FREE TRAINING FOR ITS SPEECH-LANGUAGE PATHOLOGISTS AND GRADUATE STUDENTS. 278761551 9389192 346093256 544517375 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 X 214 0 1 4108 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JEFFREY E FRANCIS 4023544840 825 S 169TH STREET OMAHA NE 68118 RICHARD KUTILEK MD DIRECTOR 1.00 0.00 X 0 0 0 TYRON A ALLI MD DIRECTOR 1.00 0.00 X 0 0 0 RICHARD C HAHN DIRECTOR 1.00 0.00 X 0 0 0 DEB BASS DIRECTOR 1.00 0.00 X 0 0 0 ADAM YALE DIRECTOR 1.00 0.00 X 0 0 0 LARRY V PEARSON DIRECTOR 1.00 0.00 X 0 0 0 SPENCER STEVENS DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL C LEBENS TREASURER 1.00 0.00 X X 0 0 0 KATHLEEN C DODGE SECRETARY 1.00 0.00 X X 0 0 0 BRET C GRIESS VICE CHAIRMAN 1.00 0.00 X X 0 0 0 C L LANDEN CHAIRMAN 1.00 0.00 X X 0 0 0 TODD ENGLE DIRECTOR 1.00 0.00 X 0 0 0 CAROLEE V JONES MD DIRECTOR 1.00 39.00 X 0 395089 86655 DEBORAH PERRY MD DIRECTOR 40.00 0.00 X 440086 0 108927 STEPHEN L GOESER PRES./CEO NE METH HEALTH 24.00 16.00 X 0 1162438 263083 JOSEPHINE ABBOUD PRESIDENT METHODIST HOSPIT 40.00 0.00 X 0 545198 133986 JEFFREY E FRANCIS VICE PRES CFO 22.00 18.00 X 0 591584 130153 PATRICIA BAUER COO WOMEN'S HOSPITAL 40.00 0.00 X 0 209864 56428 GARNET BLATCHFORD MD CHIEF MEDICAL OFFICER 40.00 0.00 X 0 417177 70753 TERI BRUENING VP - ADMINISTRATION 40.00 0.00 X 0 315440 61862 JULIE MURRAY VICE PRESIDENT 40.00 0.00 X 0 293802 64053 ROBERT LINDAU MD PHYSICIAN 40.00 0.00 X 559798 0 69358 ANDREW COUGLIN MD PHYSICIAN 40.00 0.00 X 552755 0 69482 OLEG MILITSAKH PHYSICIAN 40.00 0.00 X 556735 0 77893 ARU PANWAR MD PHYSICIAN 40.00 0.00 X 558948 0 53859 DIANA NEVINS MD PHYSICIAN 40.00 0.00 X 605770 0 50134 3274092 3930592 1296626 247 0 1 0 PERINATAL ASSOCIATES PC 717 N 190TH PLAZA 2400 OMAHA NE 68022 MEDICAL SERVICES 9187608 JE DUNN CONSTRUCTION 14606 BRANCH ST SUITE 300 OMAHA NE 68154 CONSTRUCTION 8119468 EDWARDS LIFESCIENCES 1 EWARDS WAY IRVINE CA 68118 MEDICAL EQUIPMENT 4561856 REPRODUCTIVE HEALTH SPECIALISTS 717 N 190TH PLAZA 2500 OMAHA NE 68022 MEDICAL SERVICES 2286207 MCLMEYERS-CARLISLE-LEAPLEY 14124 INDUSTRIAL ROAD OMAHA NE 681443332 CONSTRUCTION 2194578 36 8235 6959196 28198761 35166192 NET PATIENT SVC REV 621990 595315247 595315247 OTHER PATIENT REVENUE 621990 11027401 11027401 MEDICAL RESEARCH 541700 1013262 1013262 607355910 27128465 27128465 4282777 3782901 499876 499876 499876 157270327 136067203 13206 21203124 -13206 21189918 21189918 334589 214599 119990 119990 LABORATORY 621500 5009238 5009238 CAFETERIA REVENUE 722210 2459568 2451257 8311 TECH. & PROF. CONSULTING 541900 1783517 1783517 947375 947375 10199698 701660049 609807167 7748441 48938249 504831 504831 14814204 14814204 208525071 208525071 71179 71179 41998955 41998955 14070753 14070753 140407 140407 27243 27243 827778 827778 43643875 43643875 2194499 2194499 16806451 16806451 24411450 24411450 15298892 15298892 69206 69206 10196519 10196519 33056032 33056032 3588335 2933805 654530 MEDICAL SUPPLIES 111026338 111026338 SYSTEM ALLOCATIONS 21086680 21086680 OTHER OPERATING EXPENSE 1957368 1957368 DUES AND SUBSCRIPTIONS 1497720 1497720 1440227 1440227 567254013 544517375 22736638 0 18883209 18421509 88188160 95751567 9032929 8915703 12907364 15785690 925727223 624415678 315689611 301311545 426845210 513205107 4084580 3650203 151952129 150381091 1027583192 1107422415 90944191 81543106 263813736 257871561 6373654 3592411 6973573 5243898 368105154 348250976 X 622663795 724155076 36814242 35016363 659478038 759171439 1027583192 1107422415 X 134406036 14644654 -49357289 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 27243 78972 27243 78972 567226770 765615654 567254013 765694626 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 71961 76668 78594 78972 306195 250000 250000 250000 250000 1000000 1500000 PART II-B, LINE 1: A PORTION OF THE ANNUAL DUES PAID TO THE AMERICAN HOSPITAL AND NEBRASKA HOSPITAL ASSOCIATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 1140991 150408 1291399 1030645 110346 1140991 871537 159108 1030645 933621 -62084 871537 807886 125735 933621 0.46360 0.53640 0 1 1 2485571 2485571 431658498 253560178 178098320 491583154 370855500 120727654 301311545 BENEFICIAL INTEREST IN FDN ASSETS 15991204 CONSTRUCTION IN PROGRESS 26779251 DUE FROM AFFILIATES 55111041 INVESTMENT IN SUBSIDIARIES 43996342 OTHER RECEIVABLES 4791637 RIGHT OF USE OF OPERATING ASSETS 3711616 150381091 COND. ASSET RETIREMENT OBLIGATION 2935172 LONG TERM OPERATING LEASE OPERATIONS 2308726 5243898 X PART V, LINE 4: FUNDS ARE DESIGNATED FOR CHARITABLE AND CANCER CARE. PART X, LINE 2: THE NEBRASKA METHODIST HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. IN 2021 AND 2020, MANAGEMENT DETERMINED THERE WAS NO MATERIAL INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 0 1 1 9219132 74784 9144348 0.01610 44378816 33851361 10527455 0.01860 53597948 33926145 19671803 0.03470 5460923 5460923 0.00960 8299297 8299297 0.01460 3055688 3055688 0.00540 559392 559392 0.00100 17375300 17375300 0.03060 70973248 33926145 37047103 0.06530 76 76 0.00000 195 195 0.00000 576 576 0.00000 847 847 0.00000 1 10964631 126709653 148476924 -21767271 X 1 1 1 WEST DODGE IMAGING LLC DIAGNOSTIC IMAGING SERVICES 0.50000 0.50000 2 METHODIST ENDOSCOPY CENTER LLC AMBULATORY SURGICAL FACILITY 0.50000 0.50000 3 MIDWEST SURGICAL HOSPITAL AMBULATORY SURGICAL FACILITY 0.06290 0.43610 2 1 NEBRASKA METHODIST HOSPITAL 8303 DODGE STREET OMAHA NE 68114 WWW.BESTCARE.ORG/LOCATIONS/METHODIST-H 260008 X X X X X A 2 METHODIST WOMEN'S HOSPITAL 707 NORTH 190 PLAZA OMAHA NE 68022 WWW.BESTCARE.ORG/LOCATIONS/METHODIST-W H000116 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/ X 1 21 1 WWW.BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-PLAN/ 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X BESTCARE.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: NEBRASKA METHODIST HOSPITAL, - FACILITY 2: METHODIST WOMEN'S HOSPITAL GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED PRIMARY DATA REPRESENTATION FROM TELEPHONE INTERVIEWS WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS AS WELL AS THROUGH ONLINE QUESTIONNAIRES. IN ADDITION, AN ON-LINE KEY INFORMANT SURVEY WAS USED TO SOLICIT INPUT FROM INDIVIDUALS WITH A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. THIS INCLUDED 150 KEY INFORMANTS INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT OF THREE OMAHA HEALTH SYSTEMS, NEBRASKA METHODIST HEALTH SYSTEM, CHI HEALTH, AND NEBRASKA MEDICINE AS WELL AS THE DOUGLAS COUNTY HEALTH DEPARTMENT, WITH SUPPORT FROM LOCAL HEALTH DEPARTMENTS FROM SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 6B: IN ADDITION TO THE THREE OMAHA HEALTH SYSTEMS, AND LOCAL HEALTH DEPARTMENTS IDENTIFIED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED SUPPORT FROM CHARLES DREW HEALTH CENTER, INC., THE WELLBEING PARTNERS, INC., OMAHA COMMUNITY FOUNDATION, AND ONE WORLD COMMUNITY HEALTH CENTERS, INC. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 11: 2021 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE NEBRASKA METHODIST HOSPITAL (NMH) ARE COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF IMPROVING THE LIVES OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE AND INNOVATE. MANAGEMENT AND BOARD MEMBERS HAVE APPROVED THE 2021 - 2023 PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE METROPOLITAN AREA COMMUNITY HEALTH NEEDS ASSESSMENT, IN ACCORDANCE WITH OUR TALENTS AND AREAS OF EXPERTISE. THE GUIDING FOCUS FOR ALL COMMUNITY BENEFIT PROGRAMS INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE, AND RELIEVING OR REDUCING THE BURDEN OF THE GOVERNMENT.ALL COMMUNITY BENEFIT PROGRAMS ARE COLLABORATIVE IN NATURE, WHERE WE COLLABORATE WITH THOSE ORGANIZATIONS THAT ARE CURRENTLY WORKING IN THE TARGETED COMMUNITY ON IDENTIFIED NEEDS. OFTEN PROGRAMS OR SERVICES ARE NOT EASILY QUANTIFIABLE UNTIL CURRENT CENTER FOR DISEASE CONTROL (CDC) REPORTS ARE UPDATED, HOWEVER, EACH SERVICE IS EVALUATED ON AN ONGOING BASIS FOR EFFECTIVENESS, AND IS UPDATED WITH THE MOST CURRENT EDUCATION MATERIALS AND SCREENINGS, AS STATED BY BEST PRACTICES FROM REPUTABLE, SCIENTIFIC EXPERTS.NMH HAS WORKED WITH NEARLY 300 ORGANIZATIONS IN THE LAST DECADE THROUGH PREVENTION ACTIVITIES, HEALTH PROMOTION, SOCIAL SERVICES, PASTORAL CARE, NUMEROUS VOLUNTEER EFFORTS, AND PROFESSIONAL EDUCATION, AND REMAINS A STRONG LEADER FOR PROVIDING A HEALTHIER COMMUNITY A STATEMENT WE REMAIN HIGHLY PROUD OF. IN ORDER TO ADDRESS THE MANY IDENTIFIED NEEDS OF OUR COMMUNITIES, WE REMAIN COMMITTED TO THOSE ORGANIZATIONS WHO HAVE ADDITIONAL EXPERTISE IN AREAS WE FEEL WOULD SERVE AS A PRUDENT PARTNER.ACCESS TO HEALTHCARE SERVICESTO IMPROVE THE HEALTH OF THE ENTIRE COMMUNITY, THE METHODIST COMMUNITY HEALTH CLINIC (MCHC), A LOW COST CLINIC OWNED AND OPERATED BY NMH, PROVIDES SERVICES TO A DIVERSE AND UNDERSERVED POPULATION. THE CLINIC HAS SERVED OVER 13,000 INDIVIDUALS SINCE 2017. STAFFED BY TWO MID-LEVEL PROVIDERS AND BY AN INTERNIST AS THE MEDICAL DIRECTOR, THE CLINIC PROVIDES PRIMARY CARE SERVICES AS WELL AS STD SCREENING AND SEXUAL ASSAULT NURSE EXAMINER (SANE) FOLLOW-UPS. THE GOAL OF THIS STRATEGICALLY PLACED CLINIC IS TO INCREASE SERVICES FOR THE UNINSURED/UNDERINSURED AND UNDER-RESOURCED POPULATIONS, AS WELL AS EXPANDING SERVICES TO ASSESS AND RESPOND TO SOCIAL DETERMINANTS OF HEALTH. THE CLINIC CONTINUES TO COLLABORATE WITH A LOCAL FAITH COMMUNITY AS WELL AS BEHAVIORAL HEALTH PROVIDERS AND SOCIAL WORKERS TO ENCOMPASS THE WHOLE INDIVIDUAL, AND HAS GAINED THE EXPERTISE OF AN ON-SITE NEPHROLOGIST ONE AFTERNOON A MONTH.MCHC HAS PROVEN TO BE A HUB FOR COMMUNITY COLLABORATION, PARTNERING WITH NEBRASKA METHODIST COLLEGE AND THE FAITH-BASED FOOD PANTRY LOCATED IN THE SAME BUILDING, TO PROVIDE FREE MONTHLY SCREENINGS AND EDUCATION ON NEEDS IDENTIFIED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT.FULLY EQUIPPED WITH STORAGE, CONSULTATION AND PATIENT AREAS, THE METHODIST MOBILE MAMMOGRAPHY UNIT HAS TRAVELED ACROSS NEBRASKA AND IOWA SERVING LOCAL COMMUNITY CENTERS, BUSINESSES AND UNDERSERVED NEIGHBORHOODS. SINCE 2018 (ITS FIRST YEAR OF OPERATION), THE METHODIST MOBILE MAMMOGRAPHY UNIT PROVIDED OVER 5,600 MAMMOGRAMS TO WOMEN ACROSS THE METROPOLITAN REGION, INCLUDING MOST SIGNIFICANTLY HUNDREDS OF WOMEN RECEIVING A MAMMOGRAM FOR THE VERY FIRST TIME. IN ADDITION, 250 OF THE 1,975 MAMMOGRAMS PERFORMED IN 2021 WERE PROVIDED FREE TO THE RECIPIENT, USING HARPER FAMILY FOUNDATION GRANT FUNDS AND OTHER GRANTS. CANCERMETHODIST HOSPITAL CONTINUES TO INCREASE COMMUNITY-BASED CANCER SCREENINGS, INCLUDING FREE HEAD & NECK OUTREACH INITIATIVES TO THE COMMUNITY, TO INCLUDE LOCATIONS ON-CAMPUS AND THROUGHOUT THE LOCAL COMMUNITY. THERE ARE A NUMBER OF OTHER FREE CANCER SCREENINGS THROUGHOUT THE COMMUNITY IN PARTNERSHIP WITH OTHER HEALTH AGENCIES AND ORGANIZATIONS, FOCUSING ON: BREAST, DIABETIC, LUNG AND SKIN, AMONG OTHERS. HEAD AND NECK CANCER SCREENING OPPORTUNITIES HAVE EXPANDED ACROSS THE REGION WITH BOTH IN-PERSON AND VIRTUAL OFFERINGS ALL FREE TO THE COMMUNITY. AS PART OF OUR MEMBERSHIP AND SUPPORT FOR THE IMMUNIZATION TASK FORCE, NMH ADVOCATES FOR INCREASED HUMAN PAPILLOMA VIRUS (HPV) VACCINATION IN MEDICAL CLINICS ACROSS THE AREA, AND PROVIDES NEARLY 2,500 FREE INFLUENZA DOSES TO DAYCARES, SCHOOLS, AND NON-AFFILIATED HEALTH CLINICS ACROSS THE METROPOLITAN AREA.HEART DISEASE & STROKESIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY SCREENING OFFERED INCLUDES A NUMBER OF HEALTH EDUCATION TOOLS, AND HEART DISEASE AND STROKE ARE NO DIFFERENT. AT THESE EVENTS, BLOOD PRESSURES AND OTHER VITAL STATISTICS ARE TAKEN, AND ONE-ON-ONE CONSULTATION WITH A LICENSED STAFF MEMBER IS AVAILABLE AT NO COST. THESE CONSULTATIONS INCLUDE SPECIALIZED EDUCATION REGARDING HEALTHY LIFESTYLE CHOICES THAT CAN REDUCE HEART DISEASE AND CHANCES OF STROKE, INCLUDING BUT NOT LIMITED TO: HEALTHY EATING, FOOD PROPORTIONS, COOKING INSTRUCTIONS AND HOW TO MAKE LOW-COST MEALS FOR FAMILIES. THROUGHOUT 2021, NEARLY 33,000 INDIVIDUALS WERE SERVED THROUGH HEART DISEASE & STROKE EDUCATION, OUTREACH AND SCREENINGS.FINANCIAL ASSISTANCEIN 2021, NMH WAS ABLE TO ASSIST NEARLY 20,000 INDIVIDUALS WITH FINANCIAL ASSISTANCE, REDUCING OR EVEN ELIMINATING THE MEDICAL PAYMENT BURDEN ON FAMILIES, ALLOWING THEM TO AFFORD HOME OWNERSHIP, EDUCATIONAL EXPENSES, AND HEALTHIER LIFESTYLE AND FOOD CHOICES. OUR FINANCIAL ASSISTANCE PROGRAM IS OFFERED TO ALL PATIENTS UPON ADMISSION AND OUR PROVIDERS ARE KNOWLEDGEABLE REGARDING HOW THEIR PATIENTS CAN APPLY FOR THIS PROGRAM. EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, NMH CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. NMH USES A MULTI-DISCIPLINE APPROACH IN REVIEWING ALL PROGRAMS AND CONTINUES TO MOVE TOWARDS USING EVIDENCE-BASED MODELS. AS A HEALTH SYSTEM, METHODIST HAS CONTRIBUTED NEARLY $1 BILLION IN COMMUNITY BENEFITS SINCE 2008, DEMONSTRATING THE LEVEL OF COMMITMENT THROUGH OUR MISSION STATEMENT, STRATEGIC PLAN AND COMMUNITY BENEFIT PLANS. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 13B: METHODIST HOSPITAL CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 13H: METHODIST HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY.METHODIST HOSPITAL UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, AVERAGE HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIOECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT BILLING OFFICE TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES METHODIST HOSPITAL TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE. GROUP A-FACILITY 1 -- NEBRASKA METHODIST HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (ASSESSMENT) WAS SPONSORED BY A COALITION OF LOCAL HEALTH SYSTEMS AND LOCAL HEALTH DEPARTMENTS. THE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS INC. (PRC), A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED PRIMARY DATA REPRESENTATION FROM TELEPHONE INTERVIEWS WHICH INCORPORATED BOTH LANDLINE AND CELL PHONE INTERVIEWS AS WELL AS THROUGH ONLINE QUESTIONNAIRES. IN ADDITION, AN ON-LINE KEY INFORMANT SURVEY WAS USED TO SOLICIT INPUT FROM INDIVIDUALS WITH A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. THIS INCLUDED 150 KEY INFORMANTS INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, BUSINESS LEADERS AND OTHER COMMUNITY LEADERS. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATE EFFORT OF THREE OMAHA HEALTH SYSTEMS, METHODIST HEALTH SYSTEM, CHI HEALTH, AND NEBRASKA MEDICINE AS WELL AS THE DOUGLAS COUNTY HEALTH DEPARTMENT, WITH SUPPORT FROM LOCAL HEALTH DEPARTMENTS FROM SARPY/CASS COUNTIES, NEBRASKA AND POTTAWATTAMIE COUNTY, IOWA. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 6B: IN ADDITION TO THE THREE OMAHA HEALTH SYSTEMS, AND LOCAL HEALTH DEPARTMENTS IDENTIFIED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED SUPPORT FROM CHARLES DREW HEALTH CENTER, INC., THE WELLBEING PARTNERS, INC., OMAHA COMMUNITY FOUNDATION, AND ONE WORLD COMMUNITY HEALTH CENTERS, INC. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 11: 2021 IMPLEMENTATION STRATEGY UPDATE:OVERVIEWTHE METHODIST WOMEN'S HOSPITAL (MWH) ARE COMMITTED TO CARING FOR ITS COMMUNITY, LIVING THE MISSION OF IMPROVING THE LIVES OF OUR COMMUNITIES BY THE WAY WE CARE, EDUCATE AND INNOVATE. MANAGEMENT AND BOARD MEMBERS HAVE APPROVED THE 2021 - 2023 PLAN TO STRATEGICALLY FOCUS ON THE NEEDS IDENTIFIED IN THE METROPOLITAN AREA COMMUNITY HEALTH NEEDS ASSESSMENT, IN ACCORDANCE WITH OUR TALENTS AND AREAS OF EXPERTISE. THE GUIDING FOCUS FOR ALL COMMUNITY BENEFIT PROGRAMS INCLUDES AT LEAST ONE OF THE FOLLOWING: ADDRESSING ACCESS TO HEALTH CARE SERVICES, ENHANCING THE HEALTH OF THE COMMUNITY, ADVANCING MEDICAL OR HEALTH CARE KNOWLEDGE, AND RELIEVING OR REDUCING THE BURDEN OF THE GOVERNMENT.ALL COMMUNITY BENEFIT PROGRAMS ARE COLLABORATIVE IN NATURE, WHERE WE COLLABORATE WITH THOSE ORGANIZATIONS THAT ARE CURRENTLY WORKING IN THE TARGETED COMMUNITY ON IDENTIFIED NEEDS. OFTEN PROGRAMS OR SERVICES ARE NOT EASILY QUANTIFIABLE UNTIL CURRENT CENTER FOR DISEASE CONTROL (CDC) REPORTS ARE UPDATED, HOWEVER, EACH SERVICE IS EVALUATED ON AN ONGOING BASIS FOR EFFECTIVENESS, AND IS UPDATED WITH THE MOST CURRENT EDUCATION MATERIALS AND SCREENINGS, AS STATED BY BEST PRACTICES FROM REPUTABLE, SCIENTIFIC EXPERTS.MWH HAS WORKED WITH NEARLY 300 ORGANIZATIONS IN THE LAST DECADE THROUGH PREVENTION ACTIVITIES, HEALTH PROMOTION, SOCIAL SERVICES, PASTORAL CARE, NUMEROUS VOLUNTEER EFFORTS, AND PROFESSIONAL EDUCATION, AND REMAINS A STRONG LEADER FOR PROVIDING A HEALTHIER COMMUNITY A STATEMENT WE REMAIN HIGHLY PROUD OF. IN ORDER TO ADDRESS THE MANY IDENTIFIED NEEDS OF OUR COMMUNITIES, WE REMAIN COMMITTED TO THOSE ORGANIZATIONS WHO HAVE ADDITIONAL EXPERTISE IN AREAS WE FEEL WOULD SERVE AS A PRUDENT PARTNER.ACCESS TO HEALTHCARE SERVICESTHE METHODIST MOBILE MAMMOGRAPHY COACH WAS ESTABLISHED THROUGH A SYSTEM-WIDE CAPITAL CAMPAIGN TO FINANCE THE PURCHASE OF A NEW MOBILE COACH, WHICH WAS THEN RETROFITTED TO SUPPORT A FULLY FUNCTIONING MAMMOGRAPHY SCREENING ROOM. FULLY EQUIPPED WITH STORAGE, CONSULTATION AND PATIENT AREAS, THIS MOBILE UNIT HAS TRAVELED ACROSS NEBRASKA AND IOWA SERVING LOCAL COMMUNITY CENTERS, BUSINESSES AND UNDERSERVED NEIGHBORHOODS. SINCE 2018 (ITS FIRST YEAR OF OPERATION), THE METHODIST MOBILE MAMMOGRAPHY UNIT PROVIDED OVER 5,600 MAMMOGRAMS TO WOMEN ACROSS THE METROPOLITAN REGION, INCLUDING MOST SIGNIFICANTLY HUNDREDS OF WOMEN RECEIVING A MAMMOGRAM FOR THE VERY FIRST TIME. IN ADDITION, 250 OF THE 1,975 MAMMOGRAMS PERFORMED IN 2021 WERE PROVIDED FREE TO THE RECIPIENT, USING HARPER FAMILY FOUNDATION GRANT FUNDS AND OTHER GRANTS. MWH'S EMERGENCY DEPARTMENT IS SPECIALLY EQUIPPED BOTH WITH PHYSICAL AND HUMAN RESOURCES TO RESPOND TO THE UNIQUE NEEDS OF SEXUAL ASSAULT SURVIVORS THROUGH THE SEXUAL ASSAULT NURSE EXAMINER/SEXUAL ASSAULT RESPONSE TEAM (SANE/SART) PROGRAM. AMONG ALL OF MHS'S EMERGENCY DEPARTMENTS SINCE 2003, THE SANE/SART PROGRAM HAS HELPED OVER 3,300 INDIVIDUALS WITH SPECIALIZED FORENSIC EXAMINATION, EVIDENCE COLLECTION, LAW ENFORCEMENT PARTNERSHIP AND FOLLOW-UPS AS NECESSARY. CANCERIN ADDITION TO THE MOBILE MAMMOGRAPHY UNIT, MWH CONTINUES TO INCREASE ITS OFFERINGS OF FREE BREAST EXAM SCREENING AND EDUCATION OUTREACH INITIATIVES TO THE COMMUNITY, TO INCLUDE LOCATIONS ON-CAMPUS AND IN THE LOCAL COMMUNITY THROUGH TARGETED HEALTH FAIRS. HEART DISEASE & STROKESIMILAR TO OTHER COMMUNITY BENEFITS ACTIVITIES, EVERY SCREENING OFFERED INCLUDES A NUMBER OF HEALTH EDUCATIONAL METHODS, AND HEART DISEASE AND STROKE ARE NO DIFFERENT. FREE BLOOD PRESSURES AND OTHER VITAL STATISTICS ARE TAKEN, AND ONE-ON-ONE CONSULTATION WITH A LICENSED STAFF MEMBER IS AVAILABLE AT EVERY COMMUNITY EVENT. IN ADDITION TO THESE ACTIVITIES, MWH EDUCATES EVERY ENCOUNTERED INDIVIDUAL WITH HEALTHY LIFESTYLE CHOICE OPTIONS THAT REDUCE HEART DISEASE AND CHANCES OF STROKE, INCLUDING BUT NOT LIMITED TO: HEALTHY EATING, FOOD PROPORTIONS, COOKING INSTRUCTIONS AND HOW TO MAKE LOW-COST MEALS FOR FAMILIES.EVALUATING OUR IMPACTIN ORDER TO BE THE BEST COMMUNITY STEWARDS AND HEALTHCARE PROFESSIONALS, MWH CONTINUALLY EVALUATES ALL PROGRAMS AND SERVICES COUNTED AS COMMUNITY BENEFITS IN ORDER TO ENSURE BEST PRACTICES ARE USED TO IMPROVE HEALTH OUTCOMES. AS A HEALTH SYSTEM, METHODIST HAS CONTRIBUTED NEARLY $1 BILLION IN COMMUNITY BENEFITS SINCE 2008, DEMONSTRATING THE LEVEL OF COMMITMENT THROUGH OUR MISSION STATEMENT, STRATEGIC PLAN AND COMMUNITY BENEFIT PLANS. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 13B: METHODIST WOMEN'S HOSPITAL CHARGES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR PATIENTS OR GUARANTORS WITH FAMILY INCOME GREATER THAN 400% OF THE FEDERAL POVERTY LEVEL WHEN CIRCUMSTANCES INDICATE SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR MEDICAL HARDSHIP ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES THAT EXCEED 25% OF FAMILY INCOME AND SUFFICIENT FAMILY ASSETS ARE NOT AVAILABLE TO MEET THE OBLIGATION. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 13H: METHODIST WOMEN'S HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY.METHODIST WOMEN'S HOSPITAL UTILIZES A PRESUMPTIVE ELIGIBILITY ANALYTICS SOLUTION THAT EXAMINES HISTORICAL DATA COMBINED WITH HOUSEHOLD ECONOMIC INFORMATION. IT EVALUATES ACCOUNTS BASED ON THE FOLLOWING STANDARDS: AVAILABLE HOUSEHOLD INCOME, AVERAGE HOUSEHOLD SIZE, CAPACITY TO MAKE PAYMENT, AND OVER-EXTENSION COMPARED TO FEDERAL POVERTY GUIDELINES. THIS INFORMATION IS DERIVED FROM SOCIOECONOMIC DATA FROM NUMEROUS SOURCES, INCLUDING CENSUS DATA. USING THIS PRESUMPTIVE ELIGIBILITY APPROACH, A SCORE IS ASSIGNED AT THE INDIVIDUAL PATIENT LEVEL. THE SCORE ENABLES THE PATIENT BILLING OFFICE TO MEET INTERNAL PROCESSING REQUIREMENTS WHILE PROVIDING A COMMUNITY BENEFIT THROUGH FORGIVING ACCOUNT BALANCES FOR THOSE IN NEED.THIS APPROACH ENABLES METHODIST WOMEN'S HOSPITAL TO EVALUATE ACCOUNTS FOR FINANCIAL ASSISTANCE EQUALLY, REGARDLESS OF THE PATIENT'S ABILITY TO COMPLETE AN APPLICATION FOR ASSISTANCE.WHEN THE PRESUMPTIVE ELIGIBILITY SOLUTION IS THE BASIS FOR DETERMINING ELIGIBILITY, A FULL FREE CARE DISCOUNT WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. THESE ACCOUNTS WILL NOT BE SENT TO COLLECTION AND WILL NOT BE INCLUDED IN BAD DEBT EXPENSE. GROUP A-FACILITY 2 -- METHODIST WOMEN'S HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE APPLICATION IS PROVIDED WITH INPATIENT ADMISSION PACKETS. GUIDANCE TO THE POLICY IS REFERRED TO IN PATIENT STATEMENTS. 1 1 - METHODIST COMMUNITY HEALTH CLINIC 208 S 26TH AVE OMAHA NE 68131 LOW INCOME COMMUNITY CLINIC PART I, LINE 7: THE METHODS PRIMARILY USED ARE THE FINANCIAL INFORMATION FROM THE MEDICARE COST REPORT AND ACTUAL EXPENDITURES.INFORMATION FOR UNREIMBURSED MEDICAID IS CONSISTENT WITH AMOUNTS FILED IN THE 2021 MEDICARE COST REPORT.INFORMATION ON PROGRAMS CONSTITUTING COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, SUBSIDIZED HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, RESEARCH AND IN-KIND DONATIONS IS COLLECTED THROUGH THE YEAR USING THE COMMUNITY BENEFITS INVENTORY SOCIAL ACCOUNTABILITY SOFTWARE WHICH FOLLOWS CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR COMMUNITY BENEFITS REPORTING. AMOUNTS SHOWN AS COMMUNITY BENEFIT ARE AT COST LESS ANY REVENUE EXCLUSIVE OF ANY GRANTS. CASH AND IN-KIND DONATIONS THAT SUPPORT FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN CONTRIBUTIONS.ALL COSTS AND REIMBURSEMENTS RELATED TO COVID-19 WERE SEGREGATED FROM NORMAL OPERATING UNITS WITHIN THE METHODIST HOSPITAL. COMMUNITY BENEFITS ITEMS RELATED TO COVID-19, WHERE APPLICABLE, HAVE BEEN IDENTIFIED SEPARATELY AND ANALYZED FOR COST VS. REIMBURSEMENT, WITH ONLY THE NET COST BEING REPORTED ON THIS SCHEDULE H. PART I, LINE 7G: A SUBSIDIZED HEALTH SERVICE BENEFIT IS CALCULATED FOR DEPARTMENTS AND SERVICES RECOGNIZING THESE AREAS OPERATE AT A NEGATIVE MARGIN. THE CANCER RISK ASSESSMENT AND PREVENTION PROGRAM, THE METHODIST COMMUNITY HEALTH CLINIC, THE DIABETES INSTITUTE AND THE GERIATRIC EVALUATION AND MANAGEMENT PROGRAMS ARE AMONG THE MANY COMMUNITY HEALTH IMPROVEMENT AND SUBSIDIZED HEALTH SERVICES OPERATED AT NEGATIVE MARGINS. THE METHODIST COMMUNITY HEALTH CLINIC, LOCATED AT 26TH AVENUE AND DOUGLAS STREET IN MIDTOWN OMAHA, IS AN ONGOING JOINT COMMUNITY PROJECT OF METHODIST HOSPITAL AND KOUNTZE MEMORIAL CHURCH THAT HELPS TO MEET THE HEALTH NEEDS OF OMAHA'S LOW-INCOME POPULATION WITHIN AN ATMOSPHERE OF CARING AND RESPECT. THE CLINIC IS MODERN, SPACIOUS, CLIENT-CONVENIENT AND PROVIDES A SUPPORTIVE SETTING. GOALS CENTER ON PATIENT EDUCATION AND EMPOWERMENT, ACCESS TO QUALITY PRIMARY CARE AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. ADVANCED PRACTICE NURSES OFFER BOTH WALK-IN AND SCHEDULED APPOINTMENTS. A SLIDING FEE SCALE IS USED BASED ON THE CLIENT'S ABILITY TO PAY. THE CLINIC IS A PROVIDER FOR EVERY WOMAN MATTERS, A PROGRAM THAT PROVIDES FREE OR LOW COST PAP SMEARS, MAMMOGRAMS, FAMILY PLANNING AND REPRODUCTIVE SERVICES.FREE OR LOW-COST SERVICES INCLUDE PHYSICAL EXAMS, TREATMENT OF MINOR AND CHRONIC HEALTH PROBLEMS AND ILLNESSES, PHYSICIAN REFERRALS, HEALTH EDUCATION, FAMILY PLANNING SERVICES, ADOLESCENT ROUTINE CARE, SCHOOL PHYSICALS, HIV TESTING AND RISK COUNSELING, STD TESTING AND TREATMENT, AND TREATMENT FOR VICTIMS OF SEXUAL ASSAULT AND DOMESTIC ABUSE.THE SEXUAL ASSAULT NURSE EXAMINER AND SEXUAL ASSAULT RESPONSE TEAM (SANE/SART) SURVIVOR PROGRAM, THE LUNG CANCER PROGRAM AND OTHER PROGRAMS AIMED AT CANCER RISK ASSESSMENT AND PREVENTION ARE PROGRAMS TARGETING COMMUNITY HEALTH NEEDS.SANE/SART PROGRAM:THE SEXUAL ASSAULT NURSE EXAMINER AND SEXUAL ASSAULT RESPONSE TEAM (AKA SANE/SART) SURVIVOR PROGRAM IS A COLLABORATION THAT UNITES METHODIST HOSPITAL WITH GOVERNMENT AND COMMUNITY AGENCIES. THIS PROGRAM, THE ONLY ONE OF ITS KIND IN THE OMAHA METRO AREA, WAS INSTITUTED IN 2003. PRIOR TO THAT, EMERGENCY ROOM CARE AFTER SEXUAL ASSAULT WAS FAR TOO SIMILAR TO EMERGENCY ROOM CARE AFTER AN ACCIDENT OR INJURY. THIS PROGRAM HAS BEEN ESTABLISHED TO PROVIDE ELEMENTS OF PRIVACY AND COMFORT FOR VICTIMS OF SEXUAL ASSAULT. THROUGH SANE/SART, METHODIST HOSPITAL AND ITS AFFILIATES INCLUDING METHODIST JENNIE EDMUNDSON HOSPITAL IN COUNCIL BLUFFS, IOWA, OFFER COMPASSIONATE EMERGENCY CARE FROM HEALTH CARE PROFESSIONALS SPECIFICALLY TRAINED NOT JUST TO MEET THE SURVIVOR'S SPECIAL MEDICAL AND EMOTIONAL NEEDS, BUT TRAINED ALSO IN PROPER METHODS OF RECOGNIZING AND COLLECTING FORENSIC EVIDENCE. DEDICATED SANE/SART NURSES, AVAILABLE 24/7, ARE KEY MEMBERS OF THE TEAM THAT CARES FOR SURVIVORS. THEIR NEUTRAL EVIDENCE COLLECTION AND TESTIMONY CAN AID AUTHORITIES IN ANY CRIMINAL INVESTIGATION.THE SANE/SART UNIT ALSO OFFERS A PRIVATE LOCATION FOR WOMEN TO BE INTERVIEWED BY POLICE OFFICERS AND TO MEET WITH A WOMEN'S CENTER FOR ADVANCEMENT VICTIM ADVOCATE. THE ADVOCATE HELPS SURVIVORS FIND COUNSELING AND SUPPORT GROUPS AS WELL AS GUIDING THEM THROUGH LEGAL PROCEEDINGS. CANCER PROGRAMS:BATTLING CANCER INCLUDES MORE THAN MEDICAL RESEARCH AND CLINICAL TECHNOLOGY. METHODIST HOSPITAL TAKES A MULTI-DISCIPLINARY APPROACH AND PROVIDES PROGRAMS AND EDUCATION. THE METHODIST ESTABROOK CANCER CENTER SPONSORS A RANGE OF EDUCATION AND COMMUNITY EVENTS FOCUSED ON INCREASING CANCER AWARENESS AND PROMOTING THE HEALING OF CANCER SURVIVORS. SOME OF THE PROGRAMS INCLUDE THE RELAY FOR LIFE EVENT WHICH CELEBRATES SURVIVORS AND INSPIRES THE COMMUNITY TO FIGHT BACK AGAINST CANCER; HARPER'S HOPE CANCER SURVIVORSHIP PROGRAM; A YOUNG ADULT SURVIVOR'S NETWORK; BREAST CANCER SUPPORT GROUPS AND PROSTATE CANCER SUPPORT GROUPS.SUICIDE - THE TRAGIC OUTCOME OF MENTAL ILLNESS - CAN BE PREVENTED. BUT IT TAKES RECOGNITION OF THE PROBLEM, REFERRALS TO MENTAL HEALTH SERVICES, AND PARTNERSHIPS AMONG KEY PROVIDERS IN THE COMMUNITY. METHODIST HOSPITAL'S COMMUNITY COUNSELING PROGRAM DIRECTLY SERVES APPROXIMATELY 6,800 IN OMAHA AND SURROUNDING COMMUNITIES WHILE ELEVATING THE OVERALL HEALTH AND EDUCATION IN THE REGION. THIS UNIQUE COMMUNITY PARTNERSHIP BETWEEN NEBRASKA METHODIST HOSPITAL AND THE OMAHA PUBLIC SCHOOLS BRINGS PROFESSIONAL COUNSELING SERVICES TO THOSE WHO OTHERWISE MIGHT HAVE NO ACCESS TO MENTAL HEALTH CARE. A TEAM OF LICENSED, MASTERS-LEVEL COUNSELORS FROM METHODIST HOSPITAL MAINTAIN OFFICE HOURS AT SCHOOLS AND CHURCHES. METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL CONTRACT WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. THE SERVICE IS PROVIDED TO PATIENTS AT NO COST. PART I, LN 7 COL(F): THE PERCENTAGE IS ARRIVED AT BY DIVIDING NET COMMUNITY BENEFIT EXPENSE IN COLUMN (E) BY THE SUM OF THE AMOUNT ON FORM 990, PART IX, LINE 25, COLUMN A. SCH H, PART VI, LINE 7 NO DIRECT REPORT IS REQUIRED BY THE STATE OF NEBRASKA. HOWEVER, INFORMATION FROM THE HOSPITALS' COMMUNITY BENEFITS REPORT DATA IS INCLUDED IN A REPORT COMPILED BY THE NEBRASKA HOSPITAL ASSOCIATION. PART II, COMMUNITY BUILDING ACTIVITIES: METHODIST HOSPITAL PROVIDES MONETARY SUPPORT THROUGH THE GREATER OMAHA CHAMBER FOUNDATION. MEMBERS OF THE STAFF PROVIDE THEIR TALENT AND EXPERTISE THROUGH INVOLVEMENT ON A VARIETY OF COMMUNITY ORGANIZATIONS.METHODIST HOSPITAL, ALONG WITH OTHER HEALTH CARE PROVIDERS AND PUBLIC SAFETY AGENCIES, QUIETLY PLAYS AN IMPORTANT ROLE IN THE COMMUNITY'S ABILITY TO RESPOND TO AND IMPROVE EMERGENCY RESPONSE DURING A NATURAL DISASTER, HAZARDOUS MATERIALS SPILL OR DOMESTIC TERRORIST ATTACK. OMAHA METROPOLITAN MEDICAL RESPONSE SYSTEM (OMMRS) WAS ESTABLISHED THROUGH A FEDERAL GRANT IN 2000, AS A MULTIDISCIPLINARY GROUP OF FIRST RESPONDERS AND OTHER HEALTH CARE PROVIDERS. OMMRS BENEFITS THE COMMUNITY IN STANDARDIZING EMERGENCY RESPONSE EQUIPMENT AND TRAINING AND DEVELOPING RESPONSE PLANS TO MAXIMIZE COMMUNITY RESOURCES AND CLARIFY COMMUNICATION PROCESSES BETWEEN AGENCIES. IN MARCH 2019, OMMRS WAS CALLED INTO ACTION DUE TO CATASTROPHIC SPRING STORMS, AFFECTING THE OMAHA METROPOLITAN AREA WITH MASSIVE FLOODING OF THE PLATTE AND MISSOURI RIVERS. IN MARCH 2020, OMMRS WAS CALLED INTO ACTION DUE TO THE COVID-19 PANDEMIC.WHILE GRANTS HAVE PROVIDED FUNDING TO COVER SOME EXPENSES, TRAINING AND OTHER NEEDED EQUIPMENT ARE PROVIDED BY METHODIST AS A COMMUNITY BENEFIT. METHODIST HOSPITAL EMPLOYS A FULL-TIME EMERGENCY PREPAREDNESS COORDINATOR, IN ADDITION TO A SAFETY TEAM WITH PARTIAL RESPONSIBILITY FOR EMERGENCY PREPAREDNESS. SALARIES PAID TO EMPLOYEES WHO ATTEND AFTER-HOURS PLANNING MEETINGS AND PARTICIPATE IN THE ANNUAL WEEKEND DISASTER DRILL ARE NOT COVERED BY GRANTS.AS ONE OF THE MEMBERS OF THE OMMRS, METHODIST HOSPITAL WOULD PROVIDE TREATMENT FOR SECOND-LEVEL INJURIES, WALKING WOUNDED AND OVERFLOW TRAUMA PATIENTS WHEN ESTABLISHED TRAUMA CENTERS ARE OVERWHELMED. PART III, LINE 4: THE NEBRASKA METHODIST HEALTH SYSTEM ADOPTED THE NEW REVENUE RECOGNITION STANDARD IN 2019. BAD DEBT EXPENSE IS NO LONGER DISCUSSED SEPARATELY. THE FOOTNOTE ADDRESSING REVENUE RECOGNITION IS ON THE ATTACHED AUDITED FINANCIAL STATEMENTS, PAGES 9 - 11 AND 13 - 14.THE COST METHODOLOGY FOR THE BAD DEBT EXPENSE PRESENTED IN PART III, LINE 2, IS CONSISTENT WITH THAT OF THE 2021 FILED MEDICARE COST REPORT. PART III, LINE 8: SOURCE IS THE 2021 MEDICARE COST REPORT AS FILED.THE ALLOWABLE MEDICARE COST ON PART III, LINE 6 IS DETERMINED USING THE CY 2021 MEDICARE COST REPORT. THE REIMBURSEMENT FROM MEDICARE IS DEDUCTED FROM THE ESTIMATED COST USING A COST-TO-CHARGE RATIO IN ORDER TO DETERMINE THE SHORTFALL FROM THE MEDICARE PROGRAM. THIS MEDICARE SHORTFALL LISTED ON LINE 7 IS NOT CURRENTLY TREATED AS COMMUNITY BENEFIT, HOWEVER, REPRESENTS NEBRASKA METHODIST HOSPITAL'S SERVICES THAT ARE ESSENTIAL TO VARIOUS UNDERSERVED POPULATIONS IN THE COMMUNITY. PART III, LINE 9B: COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL HAVE ADOPTED A PROCEDURE FOR THOSE SITUATIONS WHERE A PATIENT POTENTIALLY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT OR CANNOT COMPLETE THE APPLICATION. THIS PROCEDURE, REFERRED TO AS THE PRESUMPTIVE CHARITY PROCESS, IS FOLLOWED BY HOSPITAL PERSONNEL AS WELL AS THIRD-PARTY VENDORS ASSISTING WITH SELF-PAY COLLECTIONS.SOME OF THE INDIVIDUAL LIFE CIRCUMSTANCES THAT HAVE BEEN ESTABLISHED AS INDICATORS OF PRESUMPTIVE ELIGIBILITY INCLUDE:PARTICIPATION IN STATE FUNDED PRESCRIPTION PROGRAMS; IDENTIFICATION AS HOMELESS OR RECEIVING CARE FROM A HOMELESS PERSONS CLINIC; PARTICIPATION IN WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM; FOOD STAMP ELIGIBILITY; SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN); LOW INCOME/SUBSIDIZED HOUSING PROVIDED AS VALID ADDRESS.THE HOSPITAL STAFF, AS WELL AS VENDORS UTILIZED FOR SELF-PAY COLLECTIONS, HAVE BEEN TRAINED TO IDENTIFY INDICATORS OF PRESUMPTIVE ELIGIBILITY AND DOCUMENT SUCH AS SUPPORT FOR FINANCIAL ASSISTANCE DETERMINATION.THE HOSPITAL BILLS ALL THIRD PARTY RESOURCES THAT MAY BE ABLE TO PROVIDE REIMBURSEMENT FOR CARE PROVIDED TO PATIENTS. THIS INCLUDES, BUT IS NOT LIMITED TO, COMMERCIAL INSURANCE, MEDICARE, MEDICAID, COUNTY GOVERNMENT AND OTHER GOVERNMENT PROGRAMS, AND ANY OTHER POTENTIAL SOURCE OF REIMBURSEMENT.EVERY EFFORT IS MADE TO IDENTIFY PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE PRIOR TO OR DURING THE TIME OF SERVICE. THOSE PATIENTS ARE ENCOURAGED TO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: THE BROAD-BASED COMMUNITY HEALTH AND OUTREACH INITIATIVES INCLUDE TARGETED PROGRAMS THAT ALIGN CLOSELY WITH THE KEY HEALTH NEEDS IDENTIFIED BY THE MOST RECENT CHNA. PART VI, LINE 3: FINANCIAL ASSISTANCE APPLICATIONS ARE INCLUDED IN ALL INPATIENT ADMISSION PACKETS. METHODIST HOSPITAL AND METHODIST WOMEN'S HOSPITAL CONTRACT WITH AN ELIGIBILITY SERVICE TO ASSIST INDIVIDUALS IN DETERMINING ELIGIBILITY AND COMPLETING THE REQUIRED PAPERWORK TO PARTICIPATE IN MEDICAID OR GOVERNMENT MEANS-TESTED PROGRAMS. HOSPITAL FINANCIAL COUNSELORS AND ELIGIBILITY SERVICE PERSONNEL ARE CONVENIENTLY LOCATED FOR PRIVATE CONSULTATION 5 DAYS A WEEK FOR BOTH INPATIENT AND OUTPATIENT COUNSELING. THE COUNSELORS ARE INCLUDED IN THE ADMISSION/DISCHARGE PROCESS TO ENSURE THAT THE PATIENT IS FULLY INFORMED ABOUT THE PROCESS AND TO HELP THE PATIENT DETERMINE WHAT ASSISTANCE MAY BE NEEDED AND WHAT IS AVAILABLE TO THEM.THE BILLING CUSTOMER SERVICE UNIT IS ALSO TRAINED TO ASSIST PATIENTS WITH FINANCIAL ASSISTANCE NEEDS. PATIENTS WHO CONTACT THE UNIT EXPRESSING DIFFICULTY IN MEETING THEIR FINANCIAL OBLIGATION ARE PROVIDED WITH APPLICATIONS AND ARE ASSESSED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE.APPROPRIATE RESOURCES ARE USED TO PROVIDE EFFECTIVE COMMUNICATION WITH NON-ENGLISH SPEAKING PATIENTS INCLUDING CYRACOM LANGUAGE LINE SYSTEM THAT PROVIDES 24-HOUR ACCESS TO SEVERAL HUNDRED DIFFERENT LANGUAGE INTERPRETERS. OTHER RESOURCES INCLUDE HOPE MEDICAL OUTREACH AND ON-SITE STAFF OR CONTRACTED INTERPRETER SERVICES. THE HOSPITAL PROVIDES FOR INTERPRETATIVE SERVICES AT NO COST TO THE PATIENTS.INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON THE BESTCARE.ORG WEBSITE IN BOTH ENGLISH AND SPANISH. ADDITIONALLY, PATIENT STATEMENTS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE INCLUDING CONTACT INFORMATION. PLAIN LANGUAGE SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION DESKS WITHIN THE HOSPITALS. PART VI, LINE 4: METHODIST HOSPITAL'S SERVICE AREA INCLUDES THE GREATER OMAHA METROPOLITAN AREA - DOUGLAS, SARPY, AND CASS COUNTIES. ONE OF THE METHODIST HEALTH SYSTEM AFFILIATES OPERATES IN IOWA COUNTIES EXTENDING THE POTENTIAL FOR PATIENT CARE OUTSIDE THE METROPOLITAN AREA. ACCORDING TO US CENSUS DEPARTMENT REPORTS, THIS AREA IS HOME TO ALMOST 1,058,000 PEOPLE. METHODIST HOSPITAL HAS A NUMBER OF PROGRAMS THAT EXTEND BEYOND THE METROPOLITAN AREA SUCH AS THE PERINATAL OUTREACH PROGRAM THAT PROVIDES TARGETED EDUCATIONAL OPPORTUNITIES FOR MEDICAL PERSONNEL FROM ACROSS NEBRASKA AND IOWA. PART VI, LINE 5: PROMOTING HEALTH OF THE COMMUNITY:METHODIST HOSPITAL'S BOARD OF DIRECTORS PROVIDES OVERSITE OF ALL OPERATIONS. IT IS COMPOSED OF COMMUNITY LEADERS WITH DIVERSE BACKGROUNDS WITH A BLEND OF THOSE INDIVIDUALS WITH LONGEVITY ON THE BOARD AND THOSE WHO ARE NEW MEMBERS. THERE IS SIGNIFICANT PHYSICIAN INVOLVEMENT ON THE BOARD LENDING TO THE ABILITY TO BE LEADERS IN MEDICAL SERVICES. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS TO PROMOTE A UNIFORM STANDARD OF QUALITY PATIENT CARE, TREATMENT AND SERVICES. ADDITIONAL CRITERIA FOR CLINICAL PRIVILEGES MAY INCLUDE A REQUIREMENT OF SPECIALTY BOARD CERTIFICATION IF IT IS BELIEVED TO BE AN IMPORTANT OBJECTIVE INDICATOR OF TRAINING AND COMPETENCE. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:THE NEBRASKA METHODIST HEALTH SYSTEM INCLUDES METHODIST HOSPITAL, METHODIST HOSPITAL FOUNDATION, METHODIST FREMONT HEALTH, METHODIST JENNIE EDMUNDSON HOSPITAL, METHODIST JENNIE EDMUNDSON HOSPITAL FOUNDATION, NEBRASKA METHODIST HEALTH SYSTEM, PHYSICIANS CLINIC, AND THE METHODIST COLLEGE OF NURSING. AS A GROUP, THESE ENTITIES ARE COMMITTED TO CARING FOR THE PEOPLE OF THE COMMUNITY BY PROVIDING OUTSTANDING CARE, EDUCATIONAL OPPORTUNITIES AND SUPPORT SERVICES. THE MORE THAN 9,300 EMPLOYEES OF OUR HOSPITALS, CLINICS, COLLEGE AND FOUNDATION WORK TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE INDIVIDUALS AND COMMUNITIES SERVED. TO FULFILL OUR MISSION OF CARING FOR PEOPLE, AFFILIATES HAVE DEVELOPED A VARIETY OF WAYS TO CONTRIBUTE CARE AND HEALTH-RELATED EDUCATION TO THE POOR, MINORITIES, AND TO OTHER UNDERSERVED GROUPS AS WELL AS TO THE BROADER COMMUNITY.AS INDIVIDUAL AFFILIATES, A UNIFIED HEALTH SYSTEM, AND ACTIVE PARTNER WITH OTHER COMMUNITY AND GOVERNMENTAL AGENCIES, METHODIST HOSPITAL AND THE ENTITIES OF NEBRASKA METHODIST HEALTH SYSTEM ARE COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS OF THE REGION. METHODIST HOSPITAL RESPECTS AND EMBRACES THE RESPONSIBILITY THAT ACCOMPANIES TAX EXEMPT STATUS AND IS HONORED TO OFFER LEADERSHIP, SUPPORT AND RESOURCES TO BENEFIT THE COMMUNITY. 0 AMERICAN HEART ASSOCIATION 10100 J STREET OMAHA NE 68127 135613797 501(C)(3) 20000 0 CURE/PREVENTION OF HEART ATTACKS HOPE MEDICAL OUTREACH COALITION 1722 ST MARYS AVENUE 105 OMAHA NE 68102 911850344 501(C)(3) 24000 0 COORDINATE AND EXPAND CAPACITY OF LOCAL HEALTHCARE PROVIDERS TO CARE FOR THE UNINSURED AND UNDERINSURED OF THE METRO OMAHA AREA MARCH OF DIMES-NEBRASKA CHAPTER 11840 NICHOLAS STREET 220 OMAHA NE 68154 131846366 501(C)(3) 31250 0 IMPROVING HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTHS AND INFANT MORTALITY AMERICAN CANCER SOCIETY 9850 NICHOLAS STREET STE 200 OMAHA NE 68114 741185665 501(C)(3) 10000 150000 FMV FREE USE OF THE LAND AND LOCATION FOR THE HOPE LODGE FACILITY CURE/PREVENTION OF CANCER NEBRASKA METHODIST HOSPITAL FOUNDATION 825 S 169TH STREET OMAHA NE 68118 470595345 501(C)(3) 130137 0 SUPPORTING PROGRAMS OF NEBRASKA METHODIST HOSPITAL FOUNDATION ICAN 14217 DAYTON CIRCLE OMAHA NE 68137 470633139 501(C)(3) 15000 0 SUPPORT PROGRAMS THAT PROVIDE LEADERSHIP DEVELOPMENT PHOENIX ACADEMY 1110 N 66TH STREET OMAHA NE 68132 020732028 501(C)(3) 15000 0 SUPPORT SCHOLARSHIP PROGRAMS FOR READING DISADVANTAGE STUDENTS VISITING NURSES FOUNDATION 12565 WEST CENTER ROAD OMAHA NE 68144 470690846 501(C)(3) 8500 0 SUPPORT FUNDING FOR EDUCATION AND ASSISTANCE OF HOME HEALTH AND HOSPICE PATIENTS PROJECT PINK'D 11405 DAVENPORT STREET OMAHA NE 68154 455212995 501(C)(3) 7500 0 PROVIDE SUPPORT AND RESOURCES FOR BREAST CANCER SURVIVORS AMERICAN LUNG ASSN 11225 DAVENPORT STREET OMAHA NE 68154 131632524 501(C)(3) 6000 0 SUPPORTING PROGRAMS TO SAVE LIVES BY IMPROVING LUNG HEALTH AND PREVENTING LUNG DISEASE HOSPICE HOUSE 12809 W DODGE ROAD OMAHA NE 68154 364003095 501(C)(3) 25000 0 SUPPORTING PROGRAMS TO PROVIDE CARE TO THE TERMINALLY ILL 11 FINANCIAL ASSISTANCE 19967 14808204 BOOK FINANCIAL ASSISTANCE TO PATIENTS. SCHOLARSHIPS 6 6000 PART I, LINE 2: NEBRASKA METHODIST HOSPITAL GENERALLY DOES NOT GIVE GRANTS. WHEN IT DOES SO, PROCEDURES ARE FOLLOWED TO ENSURE THAT THE GRANT IS MADE TO HEALTH CARE AND COMMUNITY ORGANIZATIONS THAT SHARE IN THE HOSPITAL'S GOALS, MISSION AND CONCERN FOR THE HEALTH OF THE COMMUNITY. 0 1 0 0 0 0 0 0 0 STEPHEN L GOESER PRES./CEO NE METH HEALTH 0 958113 0 0 0 204325 0 238741 0 24964 0 1426143 0 164129 JEFFREY E FRANCIS VICE PRES CFO 0 496914 0 0 0 94670 0 98981 0 31794 0 722359 0 91905 JOSEPHINE ABBOUD PRESIDENT METHODIST HOSPIT 0 497777 0 0 0 47421 0 102513 0 32068 0 679779 0 0 DIANA NEVINS MD PHYSICIAN 416940 0 8679 0 180151 0 42478 0 9296 0 657544 0 158347 0 OLEG MILITSAKH PHYSICIAN 437317 0 119148 0 270 0 46347 0 33186 0 636268 0 0 0 ROBERT LINDAU MD PHYSICIAN 419350 0 119148 0 21300 0 36012 0 34986 0 630796 0 0 0 ANDREW COUGLIN MD PHYSICIAN 413945 0 119148 0 19662 0 35724 0 35398 0 623877 0 0 0 ARU PANWAR MD PHYSICIAN 420138 0 119148 0 19662 0 28937 0 29579 0 617464 0 0 0 DEBORAH PERRY MD DIRECTOR 409189 0 8679 0 22218 0 84767 0 25800 0 550653 0 0 0 GARNET BLATCHFORD MD CHIEF MEDICAL OFFICER 0 416170 0 0 0 1007 0 48010 0 24282 0 489469 0 0 CAROLEE V JONES MD DIRECTOR 0 282981 0 92954 0 19154 0 69509 0 18786 0 483384 0 0 TERI BRUENING VP - ADMINISTRATION 0 263646 0 0 0 51794 0 59112 0 4827 0 379379 0 49064 JULIE MURRAY VICE PRESIDENT 0 266754 0 0 0 27048 0 37931 0 26744 0 358477 0 26634 PATRICIA BAUER COO WOMEN'S HOSPITAL 0 209090 0 0 0 774 0 40084 0 16939 0 266887 0 0 PART I, LINE 3 SEE SCHEDULE O, PART VI, SECTION B, LINE 15 EXPLANATION REGARDING THE METHODS USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NEBRASKA METHODIST HEALTH SYSTEM NONQUALIFIED PLAN DURING 2021 AND RECEIVED CONTRIBUTIONS, PLAN ACCRUALS OR PLAN DISTRIBUTIONS IN THE FOLLOWING AMOUNTS: JEFFREY FRANCIS $82,351 ACCRUAL; $91,905 PLAN DISTRIBTION STEPHEN GOESER $212,641 ACCRUAL; $164,129 PLAN DISTRIBUTION JOSEPHINE ABBOUD $73,540 ACCRUAL TERI BRUENING $37,637 ACCRUAL; $49,064 PLAN DISTRIBUTION ROBERT LINDAU MD $15,712 ACCRUAL DEBORAH PERRY MD $55,767 ACCRUAL ARU PANWAR MD $11,987 ACCRUAL CAROLEE JONES MD $40,509 ACCRUAL ANDREW COUGHLIN MD $15,424 ACCRUAL PATRICIA BAUER $19,113 ACCRUAL OLEG MILITSAKH MD $23,147 ACCRUAL JULIE MURRAY $24,503 ACCRUAL: $26,634 PLAN DISTRIBUTION DIANA NEVINS MD $16,378 ACCRUAL; $158,347 PLAN DISTRIBUTION GARNET BLATCHFORD MD $32,186 ACCRUAL A HOSPITAL AUTH #2 DOUGLAS CNTY NE 521440796 259230LY4 2015-06-16 39999212 SEE PART VI 0 0 0 B HOSPITAL AUTH #3 DOUGLAS CNTY NE 470689293 259234CK6 2015-06-16 192458400 SEE PART VI 0 0 0 C HOSPITAL AUTH #2 DOUGLAS CNTY NE 521440796 NONEAVAIL 2018-03-28 26725000 REFUND PRIOR BONDS (03/19/14) 0 0 0 D HOSPITAL AUTH #2 DOUGLAS CNTY NE 521440796 NONEAVAIL 2018-04-13 26510000 REFUND PRIOR BONDS (05/18/2017) 0 0 0 A 40895929 16828237 24067692 2016 0 1 1 1 B 18945000 199265650 1942738 10987507 186335405 2016 0 1 1 1 C 360000 26725000 26725000 2015 1 0 1 1 D 2675000 26510000 26510000 2016 1 0 1 1 A 0 0 1 1 0 1 0 1 B 0 0 1 1 0 0.00040 0.00040 1 0 1 C 0 0 1 1 0 1 0 1 D 0 0 1 1 0 1 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 1 1 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2020 (A) ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 05/31/2020 (A) ISSUER NAME: HOSPITAL AUTH NO. 3 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/28/2018 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/28/2018 (A) ISSUER NAME: HOSPITAL AUTH NO. 2 OF DOUGLAS CNTY, NE DATE THE REBATE COMPUTATION WAS PERFORMED: 10/13/2018 SCH K, ENTITY 1 & 2 - REGARDING THE 9/28/18 & 10/13/18 REBATE COMPUTATIONS: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. SCH K, ENTITY 1 - REGARDING THE 5/31/20 REBATE COMPUTATIONS: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. SCHEDULE K, ENTITY 1 - PART I, LINES A & B, COLUMN F: BLDG ADDITIONS & EQUIPMENT/REFUND DEBT (05/20/08) SCHEDULE K, ENTITY 1 - PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. A HOSPITAL AUTH #3 DOUGLAS CNTY NE 470689293 NONEAVAIL 2018-03-28 8185000 REFUND PRIOR BONDS (03/19/14) 0 0 0 A 2950000 8185000 8185000 2010 1 0 1 1 A 0 0 1 1 0 1 0 1 A 0 0 1 1 1 0 0 0 1 A 1 KATHLEEN DODGE MEMBER OF THE BOARD OF DIRECTORS 139797 KATHLEEN DODGE IS AN OWNER OF NP DODGE REALTY WHICH CONTRACTS WITH THE HOSPITAL TO PROVIDE LEASED OFFICE SPACE. 0 FORM 990, PART V, LINE 2B THE PAYROLL SYSTEM FOR NEBRASKA METHODIST HOSPITAL IS BEING HANDLED BY A COMMON PAYMASTER, NEBRASKA METHODIST HEALTH SYSTEM, INC. ALL W-2 FORMS WERE ISSUED UNDER THE TAX IDENTIFICATION NUMBER OF NEBRASKA METHODIST HEALTH SYSTEM AND ALL REQUIRED EMPLOYMENT TAX RETURNS WERE FILED BY NEBRASKA METHODIST HEALTH SYSTEM. WAGES AND BENEFITS SHOWN IN THE FORM 990 ARE ACTUAL WAGES ASSOCIATED WITH NEBRASKA METHODIST HOSPITAL PERSONNEL. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF NEBRASKA METHODIST HOSPITAL IS NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A IN ACCORDANCE WITH THE BYLAWS, NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO CONFIRM AND REMOVE THE DIRECTORS OF THE CORPORATION AND HAS THE POWER TO APPOINT AND REMOVE THE PERSON DESIGNATED AS THE CORPORATION'S PRESIDENT BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B NEBRASKA METHODIST HEALTH SYSTEM, INC., THE MEMBER, HAS THE POWER TO APPROVE OR REFUSE TO APPROVE ANY AMENDMENT TO THE CORPORATION'S ARTICLES OF INCORPORATION OR TO THE BYLAWS, OR ANY ACTION REQUIRED TO BE SUBMITTED TO AND APPROVED BY THE VOTING MEMBERS OF A NONPROFIT CORPORATION UNDER THE NEBRASKA NONPROFIT CORPORATION ACT. THE MEMBER HAS APPROVAL AUTHORITY ON ANNUAL BUDGETS, CAPITAL EXPENDITURES IN EXCESS OF CERTAIN ESTABLISHED THRESHOLDS, AND ESTABLISHMENT OF OR PARTICIPATION AS A SHAREHOLDER, PARTNER OR EQUITY MEMBER OF ANY OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE MEMBERS OF THE NEBRASKA METHODIST HEALTH SYSTEM AUDIT AND COMPLIANCE COMMITTEE WHO REVIEWED IT IN DETAIL. THE AUDIT AND COMPLIANCE COMMITTEE REPORTED TO THE BOARD OF DIRECTORS ON THEIR REVIEW OF THE FEDERAL FORM 990. A COPY WAS MADE AVAILABLE TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW THROUGH A SECURE INTERNET PORTAL. THE BOARD OF DIRECTORS IS GIVEN AN OPPORTUNITY TO ASK QUESTIONS OR REQUEST MORE INFORMATION. NEBRASKA METHODIST HOSPITAL IS AN AFFILIATE OF THE NEBRASKA METHODIST HEALTH SYSTEM. THE POLICIES AND PRACTICES OF NEBRASKA METHODIST HEALTH SYSTEM APPLY TO ALL ITS AFFILIATES. INFORMATION FOR THE FORM 990 IS GATHERED FROM APPROPRIATE RESPONSIBLE PARTIES THROUGHOUT THE ORGANIZATION INCLUDING FINANCE, HUMAN RESOURCES AND CORPORATE COMPLIANCE; IS REVIEWED BY EXTERNAL TAX ADVISORS AND HAS A FINAL REVIEW BY THE CHIEF FINANCIAL OFFICER FOR THE NEBRASKA METHODIST HEALTH SYSTEM AND THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL QUESTIONNAIRE IS SENT TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES PURSUANT TO THE METHODIST HEALTH SYSTEM CONFLICTS OF INTEREST POLICY WHICH REQUIRES THE DISCLOSURE RELATIONSHIPS, NOT JUST FINANCIAL, THAT COULD GIVE RISE TO CONFLICTS WITH THE ORGANIZATION. A BOARD COMMITTEE MEETS ANNUALLY TO REVIEW ALL POTENTIAL CONFLICTS IDENTIFIED THROUGH THE SURVEYS. SHOULD A DECISION COME TO THE BOARD WITH AN IDENTIFIED CONFLICT, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS NOT PERMITTED TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN DETERMINING A QUORUM FOR A MEETING AT WHICH THE MATTER IS DISCUSSED. POTENTIAL CONFLICTS OF INTEREST, ONCE IDENTIFIED, MUST BE EVALUATED ON A CASE BY CASE BASIS. IN ORDER TO APPROVE THE TRANSACTION WHICH INVOLVES A DIRECT CONFLICT OF INTEREST, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DIRECTORS NOT INVOLVED IN THE CONFLICT, AT A MEETING AT WHICH A QUORUM IS PRESENT, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE BEST INTERESTS OF NEBRASKA METHODIST HOSPITAL AND/OR THE METHODIST HEALTH SYSTEM AFFILIATES, IS FAIR AND REASONABLE, AND AFTER INVESTIGATION, THE DIRECTORS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 NEBRASKA METHODIST HEALTH SYSTEM WITH WHICH NEBRASKA METHODIST HOSPITAL IS AFFILIATED, RETAINS AN INDEPENDENT CONSULTANT TO REVIEW ALL OFFICER COMPENSATION FOR EACH AFFILIATE. UNDER THIS PROCESS, MARKET DATA ON COMPENSATION IS GATHERED AND ANALYZED AND COMPENSATION RANGES ARE SET. THE INFORMATION IS THEN PROVIDED TO THE COMPENSATION COMMITTEE OF THE BOARD OF NEBRASKA METHODIST HEALTH SYSTEM, INC., A NEBRASKA NON-PROFIT CORPORATION. ALL OFFICER COMPENSATION IS REVIEWED, EVALUATED AND APPROVED BY THIS COMMITTEE. PHYSICIAN COMPENSATION IS COMPARED TO NATIONAL COMPENSATION SURVEY DATA FROM THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). THE POLICY ON "PHYSICIAN COMPENSATION" IS FOLLOWED WHEN CONTRACTING WITH PHYSICIANS TO ENSURE APPROPRIATE APPROVALS, INCLUDING APPROVAL BY THE BOARD OF DIRECTORS, ARE OBTAINED WHEN WARRANTED. OPINIONS OF FAIR MARKET VALUE REGARDING A PARTICULAR COMPENSATION ARRANGEMENT OR TRANSACTION MAY ALSO BE OBTAINED FROM REPUTABLE, INDEPENDENT VALUATION CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION FILED THE FORM 1023 IN 1968. APPLICATIONS FILED BEFORE JULY 15, 1987 NEED NOT BE MADE PUBLICLY AVAILABLE. A COPY OF THE IRS DETERMINATION LETTER WILL BE PROVIDED UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS SEPARATELY AVAILABLE TO THE PUBLIC. HOWEVER, THE RESTATED ARTICLES OF INCORPORATION OF THE ORGANIZATION ARE AVAILABLE THROUGH THE NEBRASKA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO MEMBERS OF THE BOARD OF DIRECTORS AND EMPLOYEES. FINANCIAL INFORMATION IS AVAILABLE TO THE PUBLIC THROUGH THE IRS FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO CONTRIBUTES INFORMATION REGARDING THE COMMUNITY BENEFITS IT PROVIDES AS PART OF THE NEBRASKA METHODIST HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS AVAILABLE TO THE PUBLIC ON THE WEBSITE BESTCARE.ORG/ABOUT/COMMUNITY-BENEFITS/OUR-COMMUNITY-AND-FINANCIAL-IMPACT. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES -47,533,023. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION ASSETS -2,722,218. CHANGE IN INVESTMENT IN SUBSIDIARIES 897,952. HEART SERVICES LLC 825 S 169TH STREET OMAHA NE 68114 271141616 CARDIOLOGY SERVICES NE 0 0 NEBRASKA METHODIST HOSPITAL NEBRASKA METHODIST HEALTH SYSTEM INC 825 S 169TH STREET OMAHA NE 68118 470639839 ADMINISTRATIVE SUPPORT NE 501(C)(3) L12: III-FI N/A 0 JENNIE EDMUNDSON MEMORIAL HOSPITAL 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 420680355 LICENSED HOSPITAL IA 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 NEBRASKA METHODIST HOSPITAL FOUNDATION 825 S 169TH STREET OMAHA NE 68118 470595345 SUPPORT OF NEBRASKA METHODIST HOSPITAL AND AFFILIATES EXEMPT ACTIVITIES NE 501(C)(3) L7 NEBRASKA METHODIST HEALTH SYSTEM 0 NEBRASKA METHODIST COLLEGE OF NURSING AND ALLIED HEALTH 825 S 169TH STREET OMAHA NE 68118 470724387 NURSING AND HEALTH EDUCATION FACILITY NE 501(C)(3) L2 NEBRASKA METHODIST HOSPITAL 1 JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION 933 E PIERCE STREET COUNCIL BLUFFS IA 51503 421439454 SUPPORT OF JENNIE EDMUNDSON MEMORIAL HOSPITAL IA 501(C)(3) L7 JENNIE EDMUNDSON MEMORIAL HOSPITAL 0 NEBRASKA METHODIST HEALTH SYSTEM SELF INSURANCE TRUST 825 S 169TH STREET OMAHA NE 68118 363699672 INSURANCE NE 501(C)(3) L12: III-FI NEBRASKA METHODIST HEALTH SYSTEM 0 REAL ESTATE HOLDINGS 825 S 169TH STREET OMAHA NE 68118 470649790 PROPERTY MANAGEMENT NE 501(C)(2) NEBRASKA METHODIST HEALTH SYSTEM 0 PHYSICIANS CLINIC INC 825 S 169TH STREET OMAHA NE 68118 470687317 CLINICAL HEALTH CARE NE 501(C)(3) L10 NEBRASKA METHODIST HEALTH SYSTEM 0 METHODIST FREMONT HEALTH 450 E 23RD STSREET FREMONT NE 68025 831362276 LICENSED HOSPITAL NE 501(C)(3) L3 NEBRASKA METHODIST HEALTH SYSTEM 0 FREMONT HEALTH CLINIC 450 E 23RD STSREET FREMONT NE 68025 470717207 CLINICAL HEALTH CARE NE 501(C)(3) L10 NEBRASKA METHODIST HEALTH SYSTEM 0 SHARED SERVICE SYSTEMS INC & SUBSIDIARY 825 S 169TH STREET OMAHA NE 68118 470649534 MEDICAL SUPPLY DISTRIBUTION & LAUNDRY NE NEBRASKA METHODIST HEALTH SYSTEM C 0 METHODIST HEALTH PARTNERS 825 S 169TH STREET OMAHA NE 68118 470797563 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 FREMONT HEALTH PARTNERS 450 E 23RD STREET FREMONT NE 68025 460735043 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 HEALTH CHOICE OF NEBRASKA 450 E 23RD STREET FREMONT NE 68025 470783732 MANAGED CARE CONTRACTING NE NEBRASKA METHODIST HEALTH SYSTEM C 0 0 1 1 1 0 0 1 0 0 1 0 0 1 1 1 0 0 0 0 NEBRASKA METHODIST HEALTH SYSTEM INC 825 S 169TH STREET OMAHA NE 68118 470639839 X 0 48000 48000 83920119 83968119 1000000 250000 0 0 0 NEBRASKA METHODIST HOSPITAL 825 S 169TH STREET OMAHA NE 68118 470376604 X 0 27243 27243 567226770 567254013 1000000 250000 0 0 0 METHODIST FREMONT HEALTH 825 S 169TH STREET OMAHA NE 68118 831362276 X 0 3729 3729 114468765 114472494 1000000 250000 0 0 0